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� <br /> ApPLICATiON i�or <br /> PUBLIC WORKS F�ERMIT <br /> y�r �-J PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett,WA 98201 (425)257-8810 <br /> Date //- ��� °z <br /> � . _> ,� ,'-� I <br /> / , <br /> � 1 't �, , ( APPlicants Name� i��s�„` U` " � <br /> Owner NarrL:. /i�s � - L� <br /> � 5�,� . <br /> Mailing address: �6 a v `� E� 5' �C Mailing address: <br /> �Vi ry " ��' r <br /> 1 <br /> Phone number: � �� � ? �� - `'`��`� Phone number: �' <br /> I. <br /> � <br /> / , ,- , ' <br /> � �tn ,�0 �x $. iv ) �w� �ri✓tWo�-) <br /> Description of Work: � � <br /> � <br /> Site Address: <br /> Comments from Inspector during initial inspection: <br /> Approved for Issuance by: Date <br />