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r, <br />� <br />���k� . <br />,�;�i:�v. . ylhkS' <br />�^' C� ��� <br />' •:ti�S?!y i;. <br />.;� <br />Owner Name: 50.� � � (oi'vl <br />Mailing Address: �010 CI. 2'Z ��• .S� <br />p �n115o� — 056 . <br />Application far <br />Public Works Permit <br />Public Works Department <br />3200 Cedar Street <br />Everett, WA 98?O1 425-257-8810 <br />�are: 4- z7 -I S <br />Applicant Name: ��i�'I �i i�'1 I�o»'I <br />MailingAddress: ��1�2.% �'Vo, J� <br />� v�#� i.,� 2� q`� 20 8 C,�4�1" w � �� 2c� &' <br />Email Address: ��'I� %'� "�^'�0�'lli� yG.�_�'h7 Email Address: SG�'1�M'imo� �cg' y 4�W . CovY1 <br />Phone Number: ��ZS 3I �1 2� L�?? Phone Number: `I 2S� ��C( 2-' �ng <br />Contact for Permit (Name/Phone/Email): <br />Description of �!'ork: <br />(A drawing or plans <br />Site Address: � <br />. <br />be needed to illustrate work to be done) <br />0�-i_ ��1�' D� SI <br />Comments from Inspector during initial inspection: <br />�� �SS��? � ���GG� � � /�Q <br />/U�/C-/�./�c�.�/-�� �-� ►:d-/.� <br />_----�-� — � <br />Approved for issuance by: � Date: <br />�/%��������� <br />