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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-6810 <br />Owner Name: � ilU/1'L'� j/ I��Gin'1/� <br />Mailing address: �,'�29 �t%� 1 V / <br />�iirfit o �-i (.L 1 �' `� ��D/ <br />Phone number: �-�.S ,�5�— �6�10 <br />Description of VUoi <br />Date _�%— � �%� 0 <br />Applicants Name: �.(�.����[LiYt/�/L <br />Mailing address: ��('i �� <br />Phone number: <br />Site Address: �.5 D c� � � � � �� � <br />Comments from Inspector durLig initiai insF�ectlon: <br />Approved for Issuance by: <br />� <br />Date <br />