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� �� �-- o� e <br />���sBo ��, �oE s;de <br />APPLICA7IpN for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 - 257-881Q <br />Date <br />nc„ �c i�.ro, i <br />��. G�-�- ApplicantName: � J,�� <br />6��i <ft�'/� f� f(� r. ��iina,�dcL•ess: <br />��s�e.� G��� ��ZO.� <br />Phone Number. ( ���-r) -?-I' )-Z7� Fhone tJumbec <br />Description of Work: <br />r <br />iLiMe <br />l r'J�'I i�� <br />(A drrnving or plans rnay be needed to illusfrate v+ork to be done) <br />-, � �E' � ���" PI N�/ <br />Site Address: ?�� f�'^' �� � ��.1� G�� �� \ 3Z'_d /1. K <br />Comments Irom Inspector during inllial i�specfion: <br />�� � � � ' {ii2 J fY7�'•»tciR7�cr �oL �k �O'� <br />—: v�.�� �d {c C�o.� c�S %�c� c<< r� � ��; <br />�/i2vcnr��6� f�C?•� S.iln„fi�c� 7� Snolo�.,.s� COtih�iY �� �4ciF.� <br />f'pP,rO/L �-�{tC> C%4�� � .TG�� Z�j z0/j% ( CjO�c�t'r �Ll.(�SOCit.7�'_ J <br />` <br />.� �jon,E Z�v � c�c�� �.ar PC� h Co- G� �a�ec� �� fht <br />C;t� d%���¢�{ D✓J S' S-/D _�cop/ Q��,��, � <br />_ ,�/�If/iCc.� I�� C/Tc/ 9,� C!/�/L>� Pri�j��G LuOr� inspe�fvr <br />�j // <br />�j 7Sjg �hp�QCY' �i'C' -COyt�l�r�C7��D�^ {YJC�¢�/sr,( . <br />�/ <br />Approved for issuance by: Date: <br />