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APPLIGATION for <br /> PUBLIC WORKS PERMIT <br /> EJT PUBLIC WORKS DEPARTMENT <br /> ` 3200 Cedar Street <br /> Everert, WA 98201 (425)257-SE10 <br /> Date <br /> Owner Name: i��r ���;, �� Applican:s Name: R��'(- ����C-E <br /> Mailing address: 5�I L� S � 3rr� ��e � Mailing address: ���_,,,,.1t <br /> � v ��z-It �b'�3 <br /> Phone number. `� ?�-o�.(o � - O�-�-�� Phone n�!mber: ��` ' <br /> Description of Work: ��<<�'��t �� f� J e �� �� <br /> Site Address: <br /> Comments from Inspector during initial inspection: <br /> Appro�red for Issuance by: Date <br />