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W I ( 03' 0 (2' <br /> APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> r ETT 3200 Cedar Street <br /> Everett, WA 98201 425,257-8810 <br /> Date 3I9 I <br /> GEORG e rkO N Geo M U N A <br /> Owner Name: p Applicant Name: <br /> Mailing Address: I ® 3P 7711- T /-s Mailing Address: s <br /> V E2 E i 1 wA c/8 (-1 <br /> Phone Number: 2e,6 ^6 g 3 8O 8 Phone Number: 206 — g3 - o $8 <br /> Description of Work: Z ` A 4" W I � t"J <br /> Is-cc 6 ,5 , <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 /> Approved for issuance by: Date: <br />