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j C' f r cvLs Pr; o u f {Par VK <br /> OAUAPPLICATION for <br /> PUBLIC WORKS PERMIT C <br /> PUBLIC WORKS DEPARTMENT <br /> EV ETT 3200 Cedar Street / <br /> Everett, WA 98201 (4250 257-8810 <br /> �k <br /> Date O /c,2�/�6 <br /> Owner Name: �O r� 0 r C V P Y Pit Applicant Name: / 'a94 ku ee- <br /> Q �d d /774e oh <br /> Mailing Address: P. o. ODY 83C� Mailing Address: di <br /> 762(f 1-3 q S t-' ki#d po <br /> t--VerGff,, WA jf,2Zo6 <br /> �r�res fl , WA 9 a-V 4 <br /> Phone Number: ��s_�jBU—QCj30 Phone Number: 7#/— 360990 <br /> C."011-144 Z Fou i S Co,�-f��t : Z764fe 4 8", �r- <br /> Description of Work: S ♦h �� <br /> � /tIOY/7 � /Il�l G(n''tct . .�f�•'1 . f^L�VQ 1'�l�L'i�� <br /> i <br /> (A yawing or plans may be needed to illustrate work to be done) <br /> Site Address: O►'t d� �YE/'rte/ /VO!'/n A,,,ii R . <br /> Comments from Inspector during initial inspection: <br /> C i of L S/ -l` uuor Per 4��/ <br /> 5�- Z-a,)dSc )o;,, SX4 LL 6e c%ai,? pi� Lohi, <br /> (r A <br /> 'P 44hn/ y dCp cc Ce�HdSC&�j„� LQhS h�v1f 6� QQ�IOL°PCS P/��0l� �p �!//Ld/N� <br /> (0 1��f,� co, f%Suru�i��t2 �'�,oLcti�in� crreaS' acs S/ow/� o� A< �Ca 5 CQNNcf <br /> Q('��Hii>>�cl: / //�' ✓'-_,�rr,.,�" ��;rC,r') Lal` LG'/ �/jC { �n /V - <br /> 0—d v �6, ra v,:fec! <br /> Approved for issuance by: Date: <br />