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•�r' APPLICATION for <br /> PUBLIC WORKS PERMIT �)��D�� ��c� <br /> ' PUBLIC WORKS DEPARTMENT �v <br /> ,E� ETT 3200 Cedar Street <br /> ��. <br /> Everett, WA 98201 425•-257-8810 <br /> Date 3 o MA-/ o-} <br /> Owner Name: �'Z`� Mc C����1 Applicant Name: �o��( Mv.rz�,J <br /> Mailing Address: 3�3 15"�` � Mailing Address: .3 T�3 �S � S"t'. <br /> ��(F.i.Etr wA 932o I E�!G^-F�T` � w.a 9 s2o 1 <br /> Phone Number: �425� Zr-� 2 - SS oo Phone Number. C Zo.6 � Z5 5 - '� � 8 Z <br /> Cu.v9'C�n..GT a. WAS� t�.�o w 1'c1+. 86La.� . P>p '�Aiy4,�,� �.w�.� <br /> w� t.L '6f VAlvGri �'D {�•w.�� E�T RMh� wo.'C�r� �W� �.•�� <br /> Description of Work: s.�Jre..� Dn-a��,.� ,... L� T� ��ra = L � i.—.�. s�r.p..cactiL <br /> ��D ^�r1�o.t 7\sGHA2GG ��.1-CT S/�.r1�To..�.� B�W�P� Wa�.L�/_ -pp <br /> (ahNECT A C r1 'Tb �'8G n.� GDIJG�2'1.6...Tw �"-��T1 G/V.D�r�lb <br /> 'P�Fit-J.n r yyw S�T6 La.i61-��-a�. �1.�w1.M�t'6n-wn.T �s 'F L ��l+E.. <br /> AL�NA�. C�V nICL'R.�✓ -Ta \1'FE CA'ISTN4 S° �1L�VA'(t LIw�G L 1�/� . <br /> �,� (A drawing or plans may be needed to illusirafe work 10 be done) <br /> �1��rr.o�l� S��f : ,�'� 2�..�.r.-,�,,_,.w,,.� q JEPF 1GE,e.,a,�l � <br /> VF�26P�- A°�PP^-acaL B� IL�c.� 8�r,00t.s <br /> Site Address: �j?�o 3 , s� ST'�� <br /> Comments from Inspector during in(tial Inspectiori: <br /> Approved for Issuance by: Date: <br />� . <br />