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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 � 257-8810 <br />Owner Name: C� �� }'� 17 G(YYI�P7 Applicant Name: <br />Moiling Address: I"• C�. /� cOX ��Z Mailing Address: <br />� <br />M ,� K; f-I--��of WA- ���-( <br />Phone Number. y'ZS'- 3�0 - 3q 3� Phone Number: <br />Description of Work: <br />Site Address: <br />r� <br />( w b��^ �� <br />Daie (Q �� ' � 6 <br />E� ��vnand.P � <br />/� %�- D - cc..� � Qi9�" �c r'vrn�� <br />�A drawing or plans may be needed io illustrate work to be done) <br />� <br />0'N `� iit% <br />�omments (rom Inspector during initial Inspecfion: <br />Approved for issuance by: Date: <br />