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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-9810 <br />Owner Name: L/-' /// L7 4 L)e2�tZ,,- <br />Mailing address: G01 S:z S/f/. <br />Phone number: <br />Description of Work: <br />Site Address: (-�07 <br />Commentu from Inspector during Initial Inspection: <br />Date / zG _off_ <br />Applicants Name: _���yy—fa1 <br />Mailing address: 993/ i.�ik�,Cu.� <br />Phone number. 6f a s) <br />Approved for Issuance by: Date <br />i <br />