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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 - 257-8810 <br />Owner Name: i�J))r��' r +� - Applicant Name: <br />Mailing Address- � 6L" /MaD7ing Address: <br />-�Q wL0 f1�( _Y) � <br />Phone Number:��� Phone Number: <br />Description of Work: <br />Date? d� <br />v 4/J <br />I St <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: <br />Comments from Inspector during initial inspection: <br />/�is�o�e R��rf-off cvmJ �rz� fo or,� co��,o� <br />CZeC a, a 7/ zC lJ '11;iR r' <br />/ /oj-D S�rQC a� Cecse <br />4?. <br />Approved for issuance by: Date: <br />