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APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> fV ETT PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 425-257-8810 <br /> r <br /> Date 10I(T <br /> Sa vt�- c A alp (tica <br /> Owner Name: Applicant Name: F—V'«- AlcrsSCLL"— <br /> Kot,1ne- <br /> Cv��/l✓vim r►�w�T^�,_�..` <br /> Mailing Address: Mailing Address: 2,71S Wvygt(tro d j r, Z k�Aj <br /> Se4t WA-- Lip, ft S0 3 <br /> Phone Number: Phone Number: 10b -Act 1 -0`t 7-6 <br /> Description of Work: �i'ly��rtM�Qan,1 `1-,4-C s� b&r1v1G� <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: :y r -rt 7.1 <br /> Comments from inspector during initial inspection: <br /> O C'[ 1 7 2012 <br /> f <br /> Approved for issuance by: Date: <br />