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Application for <br /> Public Works Permit <br /> s Public Works Department <br /> 3200 Cedar Street <br /> Everett, WA 98201 425-257-8810 <br /> 1 Date: <br /> Owner Name:yl -i7/ S ��5(I LC ` Applicant Name: �7 Pt ns4 j'j <br /> dGIVE S�� /� / SGMailing Address: ��� � � l`�� ailing Address: c(' <br /> i <br /> Email Address: Email Address: d �� � `@!S d� �i <br /> Phone Number: Phone Number: �s's �J7f` 7r� <br /> Contact for Permit(Name/Phone/Email): C-7 C4 I2�5 <br /> Description of Work: CL� <br /> (32— <br /> r1 a. � �S r �� CZ-6 CT--� 1 fes-- C`s E CK- G G1 C� f CZ <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: U ( <br /> Comments from Inspector during initial inspection: <br /> Approved for issuance by: Date: <br />