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i <br /> / � <br /> ! f <br /> f V <br /> �y <br /> 1 <br /> pppLICATION for i <br /> PUBLIC WORKS PERMIT �w�oo�-o,�y � <br /> PUBLIC WORKS DEPARTMENT � <br /> ,-. <br /> fT/ 3200 Cedar Street � <br /> Everett, WA 98�:01 425-257-8830 <br /> Date �P— 'Z} ���� <br /> �. � <br /> Owner Name: ����"�^�� � Applicanl Name: � <br /> � t� . � �a�•:1'�i <br /> -7 ! � / �(� ��� �I��N�i� �l'✓ <br /> ��lailing Address: >�l�/'� ��v`��� �` Mailing Address: <br /> J--, �v�. �/a. �1 ���G <br /> Phone Number: <br /> Phone Number. �/�i, ->�`—�77� ���5 � k <br /> � � �, y 3� ��� f� C�P �( <br /> 9US � <br /> Description ot Work: C �^'��'C � � � <br /> `�,,� ewn �'o ek��,�-;�� C P , � _ '�io�v✓ <br /> —� <br /> �A drawing or plans may be needed tc illusirale work to be done) <br /> Site Address: � C I`� " ���e �� <br /> ,�r �F,-L �7r�3c!�� Afo7�s �,�D <br /> Comments from Inspector during initial Inspection: t � <br /> �-7� '�D <br /> ��5i`�-�h�zor� /�� �rjvr� L �z� � .2 �3E7��� �Jn-N fx �snaG <br /> i� �� <br /> r <br /> Lc„ti,Diy�� s, <br /> %k���r ic �,-���.,L �� C'u ,���r yY/�(-rc_p Srn,�n-r�.as,_ <br /> ,, <br /> � <br /> �J iV� . <br /> Approved for issuance by: <br /> Date: <br /> � <br />