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APPLICATION for <br /> PUBLIC WORKS PERMIT � <br /> y E7T PUBLIC WORKS DEPARTMENT �(,4�v7CJj G��1 I <br /> 3200 Cedsr Street <br /> Everett, WA 98201 (425) 257-8810 <br /> Date I :� �'�_� ��� <br /> i <br /> OwnerName: I���le��'_ I�c.C.�i.l.o�..�- �+ ApplicantsName: �i°y MH�L��I I <br /> Mailing address: .��� :� «r^ s� Mailing address: �a.:-� <br /> � .T'/� � �Jv.A "/ =`.LGI '. <br /> Phonenumber. � qz.;) tt��z- ����,•�> Phonenumber:_�4L5 1 '- � ' � �_'���� ' � <br /> � <br /> Description of Work: ��� c-,L I �,���� !�i ��L�+ Z'�.1�- �o.i �-c C�s-�" <br /> tzc—,,,�..., ,u� a � �. � y �:� �..�;.r�..,i. <br /> Site Address: 3 �'-c� � �S'H `�'t' . �.1�^-s--�'T' ` V✓" 9 ;; =� 1 <br /> Comments from Inspector during initial lnspection: <br /> Approved for Issuance by: Date <br />