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• . _._. ____..._ __ <br />�� j � � �3� <br />APPLICA`TTON fo� <br />PUBL.�C 1NORKS PERM�T' <br />PUBL.iC WOR�(S DEPARTMENT <br />3Z00 Cedar Street <br />Everett, WA 98201 425 �- 7_57-8$10 <br />Date �� � � c1� /S <br />Owner Name: ��� �°'"� sd'i'"' `''�'+-' APPlicant Name: � o �� ��,�`-�-��'�-� <br />Mailing AcEdress: ���� ON r��.,,.�,,fY� Mailing �ddress: <br />7��,. /� .� 'I � . w �. ��/ � 8 <br />Phone Number. � D�,�. ��- 3�� � Phone Number: <br />Description of Work: SG �� �a �� G 1 �2 �e f f"/ ,%.�,�J 44 �'g � y �j� <br />0 <br />{A drawing or plans may be needed to illustrate work to be done) <br />Sife Acfdress: � ! 3v 1�''d�`�"`��� �-J�� �V-� �'�` � �,¢- R ��. O ► <br />Cornmenfs from Inspector during iniiial inspection: <br />y/ rn r"Y� �►�.D�-� ti rU�:�'`� �� <br />Approved for issuance by: <br />Dafe: <br />