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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />9 p 3200 Cedar Street <br />✓U (/ vy Everett, WA 98201 (425) 257-8810 <br />�20 <br />ciTY ... 20 <br />per 0k 0� D <br />S FVF ate <br />Cos TT <br />Owner Name: " W e;kI m SLY �w uNy <br />Applicants Name: Cg?k- t}ILL <br />Mailing address: F • (). %OJT 777 Mailing address: -ID geX ci %5G0 <br />(?800-- V?77 / <br />Phone number: ZS I) ZcP - &650 Phone number._`( 2S) Z33 ^ 3 2 g2 <br />�e la�j S',e 4 w oJ(r� Wo-lktr <br />Description of Work: <br />So( <br />Site Address: S/At �3[4at)t t1 A d( S,2 S'Zq 7 A)oA W .artdkomee 4 Riv <br />Comments from Inspector during initial inspection: <br />A0Prcvec `cr =Uercc cy: 2ale <br />