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�.� -� ,� �o,,,,�ti � <br /> �,,,;...�- a� ���,t,��,� . �� �1 <br /> � 3 <br /> APPLICATION for � � � <br /> PUBLIC WORKS PERMIT ��y� <br /> � .E� PUBLIC WORKS DEPARTMENT <br /> � 3200 Cedar Street <br /> �'" Everett, WA 98201 4;!5- 257-8810 <br /> Date 2 2(o Ck� <br /> Owner Name: ��� �� ��U�� Applicant Name: �—�h ��� �t�`�'���� <br /> Mailing Address: C�OZ t �v�C . � ��� ���(�tailing Address: ' <br /> Phone N�mber. y Z S - 2 S 7 ` g 3 7(� Phone Numbec <br /> Description of Work: ���c� c� � v r_� �`cxr -�o � c,�vro�,a�c� ��o�e c'� <br /> �A drawing or plans may be needed to itlusirate work to be done� <br /> Site Address: � ����� �71�11,�1 `�f_. l C v <br /> Commenis (rom Inspector during initial fnspection: <br /> — /_�1f4CC SiLf �'��CC Q�O�� E�jn O� ��t�P 4S •S�OLc/�� r/' �O('4/�0•• <br /> o,� �<< .. S�,�n1,�E-d . s�� �.���� ��� �;,�� .r�„�i«� �,�-�;�. ��osfi <br /> — /�(�LP Ci�y S�rEf�S C'l�.n ?�{ q�L �imcS . <br /> -- L,sf4(� fCI��Or��}/ Co��S�i-vC�o�, Er,f�-��,�c �¢r Ci�� o� <br /> F�a.�,f/ s�: ,,,f�,� ��08 <br /> Approved for issuance by: Date: <br />