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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 PGS �,o� 6a9 <br /> Date <br /> (o - <br /> Owner Name: qU- C CrvC eeJ-C- Applicant Name: J` 1 C AS l� r�eiG C Iv <br /> ,SCrKFNC.£ `.� LLL_ <br /> Malling Address: Mailing Addross: �' SAn1P CC3 <br /> Phono Number: Ug C; -SC9�, -1 1 I1 Phone Number: <br /> i <br /> Description of Work: <br /> — <br /> LCIN x\I�LA-E LCs_u s-c\sY1 C\ VU rte\c.sl �J I°I <br /> )A drawing or plans may be nee d to III strafe work to be done) <br /> Site Address: �J�� I - 51 St SW-1 � Ue �s W� CU`o3 <br /> Comments from Inspector during Initial Inspection: <br /> Approved for Issuance by: Date: <br />