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APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> h PUBLIC WORKS DEPARTMENT <br /> :'`,5 ;YfY EST 3200 Cedar Street <br /> M"'>- Everett, WA 98201 425:, 257-8810 <br /> Date <br /> Owner Name: N�S�kc�tMlfs Q-5 (Applicant Name: <br /> Mailing Address: C'37 _ Mailing Address: <br /> �,>udP Gf (xj <br /> Phone Number: 4Z 72 k,3- 9 l Phone Number: �� 3 (�l 0 <br /> Description of Work* i�^ <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: �C� a' 2 57 '01 Lze0 (-- _/ZD � /�A ��� f"s '>��� <br /> Comments from inspector during initial inspection: <br /> Approved for issuance by: Date: <br />