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� <br />� <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 - 25'-8810 <br />r� , , � <br />n � �� J <br />��) <br />Daie " <br />$ t `)/no <br />OwnerName: �J � 1V`Ofan ApplicantName: �Ut�^�.�/CrE� Cl�0.� <br />Mailing Address: 27G � G 2 r:C� S� Mailing Address: Z�IQ ` 2_ 2,iy� �1 }' <br />��ev'e�. Wa.. (�''�1 �V�x�� Ullc.- �'I�iZ�I <br />Phone Number: ZO �'� �� �3�,� Phone Number. �O �j �� 5 �jg� '7 <br />Description of Work: <br />Site Address: <br />(n <br />�Y <br />4' <br />�' -�t' nC2s t i1 r <br />ng or plans may be nee <br />- cE 1s,st <br />to illusfrc <br />G7UZ 2?.�c� �-� �U�r�i�" l�- �S�col <br />Comments irom Inspector during inittal fnspection: ,� �j <br />� <br />� "� �; ,��T� c [�4-�z� <br />� — 'ZC; - c, x <br />— /�� . / <br />//e/'C l2�C GV¢�!n- .�'�'(,'irf���� Y"�n� hC! n q�U�� q ;� h I'lF4�' LU��Cr�� <br />c/ <br />ah .��,�r�. %t % bc Co:�sfhorfe�i� i��ak� sv: ��-y nnc Loc�%c� �fv.�' <br />��,,J f c CL �n� �OS/S. <br />k <br />— 7f �%c C��% C.(/�r h�e�/i -id ClS� ��i✓ �5li-CF-CJRy ��• �zl�o�rCr�G C�C �/�oJQJ�� <br />f,�,rtn -1��. ��nCC t�ec/S �0 6�, 1�o�.('cI AF fli� UCc�����.1 �ZX�¢n('c= . <br />Approved for issuance by: <br />Date: <br />� <br />�%Z <br />