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.,���� <br /> i��� �i <br /> APPLICATION for ���� ��� � <br /> PUBLIC WORKS PERMIT '� � <br /> PUBLIC WORKS DEPARTMENT <br /> "� � 37.00 Cedar Street <br /> ;; <br /> Everett, WA 98201 425- 257-8810 <br /> Daie �7� o-7 C��� <br /> Owner Name: ��� �r ��n Applicant Name: _ �"''-�= <br /> /i <br /> Mailing Address: � Iv�K �✓�' � Mailing Address: <br /> �Ve�e���- l,l)� ������ <br /> Phone Number. ����j �G/� . -/��j� Phone Number: <br /> fi� �( / � / n GtlP S d /� / <br /> Description of Wotk: /"���" ���� ���r(\r�'�/ J// � / �Q�C���er > <br /> / <br /> ���o�E o;'�/�J� <br /> (A drawing or plans may be needed to illustrate work to be done) I <br /> i � <br /> Site Address: (; ���' ����1�701'�� <br /> Comments from Inspector during initial Inspection: <br /> Approved for Issuance by: Date: <br />