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APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 (425)257-8810 <br /> �ate S - �-d000 <br /> Owner Name: _ �(-I.SQ_l/1 :� VI/�1��fr Applfeants Name: �S Il �!: V1 ��,��JC'1r <br /> Mailing address: � c] � � V����11�01�i�►I e Mailing address: �� � I V UY�)'Yl���P �fle <br /> ,.��e.►��`l�", i�1l,�. �� za l UP v' gzo � <br /> Phona number. ����- DO� �P Phone number. �-1'�S�3✓7- 00 7(D � <br /> D�scription of Worlc: "'r 2 VIC� 1 ✓1 �2 �(' 1A�� QT L1�CL.�I � <br /> SiteAddreas: �� � � VVeTI'Y�OC�2 �� ��er� l (/ vV� ' �/ �Z�l <br /> Comm�nts from Inap�ctor durinp InRlal Insp�ctlon: <br /> IHIT�qL IINSPECTIQ�� <br /> KIRK BROOKC J �C� <br /> r <br /> DATE — i/ f��a � • <br /> �� <br /> Approved for Issuance by: Date <br />