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l ` <br /> �.,;+:,v,:;:� APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> � ,Ev' ET7 3200 Cedar Street <br /> Y.�:�.. . <br /> !"�6:'::'� •', <br /> " ' Everett, WA 98202 425 • 257-8810 <br /> oate �1 N�AV zo f 2 <br /> Owner Name: ��CY`a RI� ��.1('YF_�SO l I Applicant Nume: `^J A M� <br /> 1�tailing Address: �� � �7 � � t�t�E, �/V i Mailing Address: <br /> EJE�Q E�tT 'v�/�}, R S�3 �is�a � <br /> PhoneNumber. y�Cj '�Cj2- ll.�Q�j PhoneNumber. <br /> Descripfion of Work: f�cMOUQ �� f�'��0.Lr dt'� Uew0.���JS�a�� EV,) , <br /> ��>e`,� Rv �CoNcRE�� "T'o t�'�ou,nE c� ST�'ct�q�T �N-TfqNCE <br /> �o GaR�c�c. E�TR�NcE w �II he �jJeD pFR (';T.r �P'�DflR'P <br /> (A drowing or plans may be needed to illusirafe work to be do�—�e) r <br /> �l{�rJ a� 3 og �A-�t� (�c1kE o) <br /> Sife Address: y�I S CJ� �v � . � � <br /> Comments f�om Inspector during inifial inspection: <br /> Approved for issuance by: Date: <br />