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i 'e',1� <br /> ;�_:; . .:, : ldpplication for <br /> y;i'�'., ` ���y Public Works Perrni9: <br /> �_,. : Public Works D�partment <br /> �' " ',, L�%�' `ts��� 3200 Cedar Street <br /> • �. �•.r.. <br /> Everett, WA 98201 425-257-8810 <br /> D a te: <br /> � �I� �olq" <br /> Owner Name: _ Applicant Name: UV� f I � �79—' <br /> fviailing Address: Mailing Address: �`� S C ���5�/ <br /> �r S�;te l�s � SZ7 �eil,��a-�, w�r <br /> Email Address: Email Address: a �e �� � . wq �ed�a«U�i/�p. <br /> PhoneNumber: PhoneNumber: 7�Y� " 73c��3l�lU <br /> Contact for PermiC (�lame/Pnone/Email): C{yS0�1 �r��y ZS 3 -(� 82- %22 3 <br /> ✓ <br /> Description of Work: ) e� � ��°% ( ?JJ ��� � h �� V y�' v l� �� <br /> ll h.G� 2 � '`� ��z 1� <br /> (A drawing or plans may �e needed ro illustrate�vor4 to be done) <br /> Site Address: �QO y� �� U "� °�� v�/� �r �� � <br /> Comments from Inspector during initial inspection: <br /> ��=��. ..�-�� 1.:� ,, I: I; 7�- ,''� <br /> � y:., , i�c�\1'.-! l_c•��\..� ''-_ �` } I: <br /> �i� �j , � � � , <br /> - i� 'y �i Jui` ?. S !Or � �.,�i; <br /> �s '"' j <br /> -�. - � <br /> � YS")Ti�i'n i'I. ;,7'�'�l ��....i <br /> 1..--.-.�_. .. -.�,._��. ........ <br /> Approved for issuance by:_ ' Date: <br /> 1�3 <br />