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Application for <br />Public Works Permit <br />Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 425-257-8810 <br />Date: IMN /`s� <br />Owner Name: Applicant Name: CV S Llf <br />Rl a'/0 <br />Mailing Address: 2011 Cl2YL.&d Cgr Mailing Address: c%4,2_('5 ` 50(m 20/ <br />D44,L45,IX 152a <br />Email Address: <br />Phone Number: <br />Contact for Permit (Name/Phone/Email): cJU <br />31U6lf0M(SH,GJ4_ 58Zg6 <br />Email Address: /�rSwet�aDn0 - �i1�,�eox-6"ls, <br />Co vr) <br />Phone Number: <br />Description of Work:�� <br />eAdos e d -1o, <br />b/ <br />(A drawing or plans may be needed to illustrateworkto be done) <br />Site Address: � ® zI--/. 5 %,,,) -7W A <br />Comments from Inspector during initial inspection: <br />Approved for issuance by: <br />r5 , ez-YV, <br />/Uo !" / tile-Ak <br />xv, �' y <br />t�Fs <br />MiAR 1 <br />Permit <br />Date: <br />11 J�/7 <br />