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��� i5 �(� - ��7 <br /> �, - �� Application for <br /> ;���� ` Public Works Permit <br /> ;;� <br /> ,�i� �� Public Works Department <br /> - 3200 Cedar Street <br /> ��,:, <br /> Everett, WA 98201 425-257-8810 <br /> Date: ��� -�5� <br /> Owner Name:��/�/�� /��'� Applicant Name: ����- <br /> Mailing Address: �.S'�l�/�U'�.�y'SG Mailing Address: <br /> �'-���. �l..S��s `��z.s� <br /> Email Address;/����I�E�l-���-�� Email Address: <br /> ���.,,t eysj� ��✓'� <br /> Phone Number: �J���l-���� Phone Number: <br /> Contact for Permit (Name/Phone/Email):i���/��7��'�����' <br /> ��,5`,1�1�`�� -�'��s`"�'[%�r�/c'c�' �°'Gu�rC'-�.�T:/�l�"-`� <br /> Description of Work: L�� ��r�� �-�T— .�'�' <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: ��'�%�' ' /���ni �� .3�� ��`���;� <br /> Comments from Inspector during initial inspection: <br /> �:- � <br /> �, [�����%�� p ��, <br /> � <br /> �uiv � � �u i� .. <br /> 7Y C3� F�V;�I���T <br /> p�r�Y!it �a€:r•vi�F,�� <br /> Approved for issuance by: Date: <br />