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APPLICA7ION for <br />P�BLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 • 257-8810 <br />Owner Name: n� �I�� N G1,' �E1�I <br />1,4oilin� Address: I�:i'� z� •- /�� ���'�/ <br />1_`vtdN �1!�^�> 'rl � ' � � <br />Applican} Name: <br />Mi�ilinq Ad�lress <br />Dafe IC I �i f� <br />1�1,1�� rdC-L%�t�l <br />1���,� d�' �..'1l , <br />�rb� ��'�> � t��r�- �jt'C,� ��% <br />f'h�,iv, Ilund,nr: i1.• �- %G,�=�' �'.� f'L,�ri�� Iluml�ei. �.�i (� ^�'�' -L"[' �i�� <br />.� <br />DescrlptlonofWork: �*tl�Z+- �'^vrc�cc!tt�,-CE! �f+�_�/�'i,N�$-,t:(����tc <br />Site Address: <br />_. +-�V� ( iYII I Ii�' s+"(Ct-.111 1'\ � �Ct— f �%� \�� '�`' '�1V 1S'-la• � �_ <br />i � <br />i� I/IG)�\1��7O�AC�IM J\ t� <br />LI �� �(Clt„T /'f�l <br />ate woil: �o i�e doiie) <br />l+-"t�, � ✓. 1. ( 11 - � (Y �'L_ -'.�1' l�ci=1'�-�iT ,�lt, 1-� ����y-�� <br />, <br />Commenh f�Sin Inspector during inNlal Inspecllon: <br />, �. <br />-i� ' 1�1r � �� . r'� <br />, / /�1���.��- t � <br />, <br />- m�,k.� fh�� �oh�, a,.�_s ��--� <br />;- -- <br />.. , . ____ _ __ . _ _ . -- <br />�—�-- ��:C?�'3"-lfnff3 S.ivill�� ' S�y/7r� C G'C/G ✓E%�T �i✓� <br />,� „_� i� 4�u,sy�y �'�9lG /S4t'i'�m/� G' liE�' �-��-' /t/'f'��-�/l� <br />j,✓LFT /Sr.s�/i� i�7 ✓ pl�!. r�.�cr `> 7�c iS�S�N .�/11.� <br />e►,!_- �cf'r/i9G . — - �','vst/'Cc 15t� '�..- /ss'!i'l-S �_� . <br />ANproved lor issu�nce by: <br />Date: <br />