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AP�LICATION for <br />P�UBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425- 257-8810 <br />Date <br />Owner Name: i'VlI.Y�=.��Li.JQA f�lAi-1o'��'% Applicant Name: <br />Mailing Address: /� G� 5/ S r Y� �C �Moiling Address: <br />�v�r, �✓� . 9 k zo 3 <br />/ <br />�I� n��� . o� � <br />/0- /S-O� <br />S�Me <br />Phone Number: e�j.j -� � 7- p 3(� �J Phone Number: <br />Description of Work: /—t ��A ✓E ,�,e.i v�_ l�1it- y '+/' 7-R JE /7-.�. p �i=� <br />Site Address: <br />',Cq� ✓c L J-•-� riCd�%T <br />drawing or plans may be needed to illuslrale work fo be done) <br />/O O / S /s� �4�Ct: .S. � , <br />Comments from Inspector during initial inspeciion: /C_q ��—�3 ^�� <br />��C� Er✓ •� iN �i-r,�rv�j � G;��L- �g'!8 �'Yt.0 ST ,�� <br />,�i9✓LGD �E,•z C��/ D� LW�iT S7�vD�lu> D�✓G 303 , <br />/�%�l v,�T_ - �� ' ���D � �-� SGPYL�l3�E �d�9--� l��-►'US <br />To � �sr�nrG c�N-- �✓d� n/ <br />Approved for Issuance by: <br />Date: <br />