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Owner Name: <br />htailinr� �d�ir�ss <br />I'hc�n�• I �im d�u r <br />APPLICA'PION fur <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 • 257-8810 <br />����-���5 <br />i �' <br />��� �_ <br />,,,�,,,,y <br />/ <br />Date B- I D- I l� <br />/��� --z <br />� ne Appllcant Name: � <br />�� �Y I-i'1 .:•y Mailir�g Address: �03� <br />�1t I1 C°0.6Rk �,d .�,goeL <br />� <br />_ �� � f'hi,nr� Ilunil�r.c �� •�� �� �3 �� <br />0 <br />Descr�otlon of Work: <br />(A � fiuwing oi ��luns inuy be n�eded lu illustr�ite wuik L� I u� done� <br />'tL <br />Sife Address: <br />Commenfs hom Inspector durini7 Iniflal Inspectlon: <br />�� .l_�� f �-, a.,��_ r«/ �. �'<,,,.�- , _1"�7'�,. � <br />�ir��. <br />�/� f T� ,.� �� ] �-- /F s,� /5 �<</��i�„ y� �O , �6, � ., <br />' 7l/r;'%S �C'f%" `��' r/1`-1�, TiYr�� T.�/F-- F�1�t�S�f�=' S'�r�G <br />, . ..1/,�= /'� /�� il1'�i1. /.� �`/7� �S �'L���'��� <br />�'-' /�-��!"c:���� T�"' l'J,-'l'<ii�/!� L�/�� Ti�/�it/ J l�n <br />. , t f� ,.- ti' . . - - -' ' . <br />�; � : ; •��; , �� <br />Approved for Issuance by: <br />� - Date: <br />, . '� �� ,, <br />, - . .o . � . . , <br />l. <br />�, ,�� , � , �� <br /><_ _ _ - ' '�.. i: <br />