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APPLICATION for <br /> PUBLIC WORKS P�RMIT <br /> PUBLIC WORKS DEPARTMENT ._ _ <br /> "-3200 Cedar Street <br /> tverett,WA 98201 (425)257-8810 <br /> Date `�� �-� �Z�' <br /> OwnerName: t'E�µ°'��•--�J���A App <br /> licanta Name: ���� v+`-- <br /> ' �3u� 5-tN A�E <br /> Mailing address: ��3�`�� 5�'"� ��'��- Mailing address: <br /> EJE2��C'� WA a8�U3 �vE�=�'Y-R q— a�_ <br /> i i 3��� -G f�'l� Phone number. �'-425) 355 - �8 �Z , <br /> Phonenumber. �y2`�� <br /> � CaLL .C�ecJtir�%iy p¢rMtf G�1�cuP iZv�DAC�Z3�3`�a-3y8� <br /> DescriptionofWork: - � • C,2. I��w t`�R�U��,�1�1` <br /> `03�> i ��N A�c �JE+:.E-r� , Wn �f32�3 . <br /> �- � <br /> Site Address: W <br /> Com�,�ents hom Inapector during Initial inspecUon: _ <br /> �NIT�qL �N&PECTI+:'i � <br /> KIRK �RaOK� � <br /> liA'CE --------�-� - <br /> Date <br /> Approved for Issuance by: <br />