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APPLICATION for <br /> n z PUBLIC WORKS PERMIT <br /> y' vE ETT PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 425 2.57-8810 <br /> Dates z Q I y <br /> Owner game: 1 .)n1 "A, Applicant Name: -S- <br /> Mailing Address: 12 -2- 201 :5t S� Mailing Address: <br /> Phone Number: �2 5- 3U- 9250 Phone Number: <br /> Description of Work: � IP r � Aiin aVJI�e bac � Iry U�� +kr�, t <br /> C p <br /> �I <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: o f V y `C e 1� �: U (�V , Y► 9q201 <br /> Z <br /> Comments from Inspector during initial inspection: <br /> S `, <br /> 1� <br /> JUIV4� <br /> Approved for issuance by: Date: <br />