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�* APPLICATION for <br />PUBLIC WORKS PERMIT <br />f4 fTT PUf3LIC INORKS DEPAR7MENT <br />32C0 Cedar Street <br />Everett, WA 98201 (425)257-�81C <br />, <br />� <br />OwnerName: /�)�/���_Un ,7j��r_�._ <br />�bia�l�na ad�ress: �'l Z8 (((.�ST 5E <br />lr�fY_r.-T u1A y`�2oc7 <br />Phone number�'i�5� , �75-70�// <br />, <br />Description of Work: K ��r-�•:. <br />rc <br />�� � <br />l�j/j/l a u-� ' "' c; <br />/� <br />Date f — ��(� ` (� i <br />Applicants Name l�f�.� ����_ <br />Mailmg address ��i � � ���� g���'! <br />�� G/.4-�8�n� <br />Phone number � � � �L� <br />/�(/ICD o'( U�PT <br />e <br />Site Address• .� � I "� ��� `� <br />. � _ �, .�� <br />Commenls from Inspector during inilial inspection: <br />�INIT;HL ANSP�CTit •, <br />KIRY• BROOKF <br />.DAIC _ .A_/.7 _U / .___-- <br />�n ��� Ci <br />_ r. <br />� i.�f ��,� ,.i � <br />.a k'a�l' ' <br />_ , {/� J <br />� �iiO�� '-�`✓� <br />lV i�[ r or/- 11 ., t� �/p� r�. �. , n. �� <br />-9 f�/^�vC��a� i°�eY a°O /JiC�c. <br />Approved for Issuance by _____ _`_ __ _ Dale <br />