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P�, ����� <br /> • APPLICATION for o� <br /> PUBLIC WORKS PERMIT � 3� � . <br /> PUB!.IC WORKS DEPARTMENT � <br /> 3200 Cedar Street <br /> Everett,WA 98201 (425)257-8810 *Q.� <br /> Date `� " �3- � Z ` <br /> Owner Namo: � � d I 11 +LJ I'aw Applicants Name: �o, m e�ti ! ` • �� w <br /> Mailing address: .� IC� ` � Sj'ne�'� Mailing address: 3Dlo- oc 5 5�" , <br /> F�� I, on . q �2o � ��� �� 4 �' Z� / <br /> Phone number: ��- ��� 3v� Phone number: N .Z-T �J$- 303..3 <br /> Description of Work: /NSr,4LL F��/C.� �/✓ GT�/ iP-O-W- — SFE <br /> �7l.QCf/.�.D D�A w i�c/� --�r ��v_� — <br /> _. ��1\z; <br /> 0 ����� <br /> $'lpOti <br /> SiteAddress: �U /O - 025 S'� �e�� gF-P `� .� <br /> :.-t`{ O� Se���i�. <br /> Comments from Inspector during initial inspection: S�� <br /> 4� %�'luw�. S„vu ccr-�,1:�.� r�ru-����5 //a�" <br /> �Nf7li:L lNSPECTi�i; L`71CipS�G � ��S/,vE � ���`-`"' �e� <br /> KIRK BROOKs 5, I� �/;c �lJ/ � � VSP ��i� Grc�.. <br /> �� . - ¢ve� ��e, J. ¢;; <br /> �.3- �a, �v, r�,_�i������� FveycSa $ fhe OW�er {��US�' rcvrovP <br /> �twic' —�----�-- fhe r'e� �e a+ 1her� expenle , ,� I <br /> 6 Fe„c ,. m�s1 �� � �r�x, v� 9z�� h�sh� m�asc,ree <br /> o -hhe LYJ 'rSic% of -�he �er,�e <br /> . � ke, <br /> �� <br /> Approved for Issuance by: � �� �/ G L �� Date �� <br /> S�' 2� 2`I� <br /> � <br />