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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425-7_57-8810 <br />Owner Name: �'�`��Y G��-.�_IL-� — Applicant Name: <br />n4ailin� Address: ��(� �U,1MCtiYGLCF ��-t�lailing Address: <br />� �1�,-��- ��saa3 <br />Phone :du�-,ber: �aS�C-I LI S� � l`l Phone Number. <br />Description of Work: ��` � L��LI� 1���� �X�e-S�6 <br />Site Address: <br />Date � I �-OI l <br />5� v�. <br />P.� �� r <br />�A drawing or plans may be needed fo illusirate work to be done� <br />3�� TU.yVI(�. v0.L� 7 r � ll 'LY� I 1 CS}f� '�'1 �]_ <br />Commenis irom Inspector during initial inspecfion: <br />i�c���i��� L � <br />, DEC 2 1 Z011 <br />C Per� t Se ���5 T <br />Approved for issuance by: Date: <br />