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'r, <br />�="��<� � APPLICATION for <br />�,�, , <br /> '"� ' PUBLIC WORKS PERMIT � C3v <br />?"��� Ea E7T PUBLIC WORKS DEPARTMENT �)�l)�'�G <br />� '�"� 3200 Cedar Street <br /> Everett, WA 9A?01 (425)257-8810 <br /> Date �- � � � 2�D ( <br /> Owner Name: ���� ��,LrY�.'�� Applicants Name: <br />� �:, f1 <br /> "`a i:lailing address: 1',U . 1�U /� �4�`� Mailing address: <br />:�� — <br />`�:.� �U�'t,� w� �16 2a.� <br /> —� <br />�t" -_,� r <br /> 'r'hcne number: 42`. - �\`�1 �-1�� ��, Phone num6er: ' <br /> Iv � <br /> Description of Work: {�%t�� �S�' C�i•i� o.� �G=, � ��ti�,�--"�– � 0� L,� , ' <br /> _�- I� I cLus�l cstiJs s� Iti��r r�s W i � �tl 3'�C-'�� �� <br /> p � �PD � �1n�, �� ; ��F��_� <br /> -r— <br /> Site Address: �sP����K 2�j2� -�, � �' S�tiL'� �� � <br /> Comments from Inspector during initfal inspectlon: <br /> Approved for Issuance by: Date <br /> . ,..�wv.KKic,:.,•_,�pcws�aa.-.,.ww�yu.- . ic.�._ ='.�NYi0M�I4YE61CG�0� <br />