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Owner Name <br />APPLICA'1'ION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTi�IENT <br />3200 Cedar Street <br />Everett, 1NA 98201 425 - Z57-S810 <br />oar� <br />; �,�oobm3 <br />6�3 --lt� <br />-.�-�v <br />� � ,o <br />��J� L����� Applicant Name: -74 ^5� OG�4 � <br />�lailin;iArlilres`.: /���'—�O ��/T✓2.�ij� r�,;�,li•vl4dcirac;- <br />Fv.�,¢7�L�. Ct%a %r�Zv� <br />�II,�,A r���m;�E�. z5 .��8-�3I6 / F�,-�I,:: ��,U�-»t.�(� <br />Description of Work: <br />Site Address: <br />/�c� ✓>+o � O�%�G'C�G�.- h. �S�P�o� <br />�_ <br />_ i � ���a <br />. <br />L d !%OG•'_�� <br />(-, ;�ir�,r:��.�r� :r ���'��ur, ��i��� h�. r�eeded toillu5trale'.:�_n4: I�.� ;�,� r!r_;ne) <br />7u> <br />-��':21� -/c5' — fi�!�'c.' k/. <br />Comments irom Inspector during initial inspecfion: <br />-' Ti�tzr �u%CC ��.-r��� r/ ���/ �uf �r ����e wo�G� <br />r-- <br />--� /�r0 �"v � ��O�JV�c � � Or �����i � "� � �m� .S <br />�_— <br />— 1����=� s�u��,�oc i�� ��Cacc�'� r�',���.,�'-LLex�.cc� �4,��!�. <br />-�` ��. <br />, 1 J � <br />— /`ii„f �� �i�:' : • c� ���n r�� � �o U� G,Gh� �'' <br />� <br />� ���, �' �r�_�,,.-�c,x. ?S r'�.` r�ro M �? o �,� �e , <br />Approved for issuance by: Da1e: <br />