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}� <br />��3�-r<� ���� ��J <br />APPLI�ATIJN for <br />PUBLIC WORKS P�RMYT <br />PJBLIC WORKS DEPARTh1ENT <br />3200 Cedar Street <br />Everett, WA 98201 (4250 257-8810 <br />OwnerNart:e: �^ +�n / /:�� Appticant <br />Name: <br />Mailing Addresr. _ Mailing Address <br />Phone Number: <br />Description of Work: <br />Site Address: <br />�G'�' U �r C� - � l �= <br />Dafe (p ,;Z2 � � <br />�nr a n1f� ��ll(�C � N•��i�i <br />/ if��.1 ''� ,A-,w - +�Y <br />�-a'�'4"�'—'E�I�-- �� � 1�,� <br />Phone Number: �4� ( } kLr., j_ ����_ <br />(A drawing or plans may be needed to i�!uslrate work to be done) <br />Cornments from Inspector during ir.itial inspection: <br />1 <br />0 <br />;D� _ �J <br />�I, �ui� z. � �ao5 � <br />, , ; ,�;r i.�,,; ,. .,�r <br />I_ <br />rerol�t Ser�;ir<� <br />Approved for is:uance by: _ L+aie: <br />