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l�1N ezrc -v4 >� �I <br /> AP�LICATION for � `� <br /> PUBLIC WORKS PERMIT I � <br /> EY f7T PUBLIL'1NORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 ;425) 257-8810 , <br /> i <br /> ��' <br /> Date . , <br /> OwnerName:�. �S�`'`� zc�• �___. ApplicantsName:i —h� s��� �� <br /> t � <br /> hlaiiing address: / 6 � v ti 6 � S"� S€ Mailing address: �6�a 4 6 T 5� SF �., <br /> �c.,� `vti )�a'vlo3 �vr�t � �-v'q � <br /> Phone number. yas � 3 � 7 - u���� Phone number: ��•�< <br /> �86 Z— <br /> , <br /> , <br /> Description of Work: V � � �r,� .�:��^� , ^� (�� 7 of �r;� <br /> Site Address: = `�^ j <br /> Comments from Inspector sluring initial inspectfon: <br /> / � � ` <br /> .iliJ G�l,n ,n✓.. Y '- 1//L(j <br /> �/3�L <br /> �NIT�AL �NSPECTi;��. /�c�C3 /U����� Cr. ��I-L(C �i < <'' 11�i <br /> KIRK B nOK6 <br /> �' , -� y �- i-, I , �,`�: . > <br /> UNl'E --�� -� ��.`' -- <br /> Approved for Issuance by: � _ L`ate _ <br />