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APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> 'EFT PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 425.•• 2.57-8810 <br /> Date -;\\""\11L") <br /> Owner Name: S"-\\ b:l Cacnch� .5; Applicant Name: Com\<R2 \e� �r�ZeSISviC. <br /> Mailing Address: 1-C'et '' c\L. \)Gt\c-A 01 Mailing Address: \\AD .locus <br /> �L c.t` i �i R r1`6u' S�ti 'ase �S tlZ <br /> Phone Number: Phone Number: L\t3c6- S \ -acS <br /> Description of Work: ts.": :^�. � w�\c ,,Aa�: r:� 1stwTV.A.c) a� we.�5 t+tiV., �ou� <br /> (5^e. *A- c. G Q\G�S2) <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: \`�\�i \\"Z-A \ es-e,�� <br /> Comments from Inspector during initial inspection: <br /> Approved for issuance by: Date: <br />