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� � � ' <br /> P 4'� � �c�� f - C��� <br /> �APPLICATION for <br /> PUBLTC WORKS PERMIT � <br /> ��� EY�����EPT <br /> PUBLIC WORKS DEPARTMENT <br /> y,,;w ,, ; 3200 Cedar Street <br /> ` � � Everett, WA 98201 425•-�257-8810 <br /> Date l '" V a � ` � <br /> Owner Name: ��'hn�5 �d tyn Applicant Name: `" ����5 �� "Y� � <br /> Mailing Address: ��0�� �1 �fi ��. 'U ul Mai�ing Address: ` `��� �� S� ��� I v �� <br /> Cv�.��,�f,_ �/A� ��an3 �ve���, �✓�, ���v3 <br /> Phone Number: �{as �9 ��S�O �e�� Phone Number: �� ��3" �a�{(� hdn't <br /> uas �a3- oa46 �,��, ua�s 3s�- �s"to ��i( <br /> Description of Work: �� �I �0 V�/ a,�{q �0 I�Y) '��Gh e�(S��nq 4/a� <br /> U <br /> f �'' �n e,�'��� Sr'� o� p�c�1-c,�l�y ��°n� <br /> � <br /> .. "Q � � � <br /> � l P �?Rs�. S-ee. a�u.�ht� S���e ��un <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: ��� ���h ��. s. �, L V���, ��. R�a o 3 <br /> Comments from Inspector during initial inspection: /{� / � <br /> �`�f� 13 — ��ll �l���S f � /�l��C'�� �� sG��%�ti'h- �� -�-z�� -�i�� ��%�� � (�r�f�Cl� <br /> 1 . A .� <br /> ���� f�� ce- �z;��� G�i��� �Y��- �c�sf � ��� . ���',sflr�l.�� <br /> /-�✓�G� ��Y�S���� <br /> ��ldr��'�� /,���� <br /> � . .�, � / � r���r► �- l":; � � .,�^�1�/- �� � <br /> �� �, ��X� �s � ., � -� l <br /> y l ���. ��`�' � <br /> C�� � � <br /> � <br /> � � <br /> � . _ <br /> ��. <br /> Approved for issuance by: Date: <br />