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APPLICATION for <br /> PUBLIC WORKS PERMIT • <br /> PUBLIC WORKS DEPARTMENT J <br /> ETT 3200 Cedar Street PIA) <br /> II I <br /> Everett, WA 98201 425,,257-8810 O69l <br /> Date l W /il//' <br /> Owner Name: tVar LI co Cr r 'i Applicant Name: <br /> Mailing Address: 70 6 7 7 ( 5' Mailing Address: <br /> f=ki sum)-9`m <br /> Phone Number: e-,/ 1- 137 'G 7/ Phone Number: <br /> Description of Work: <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: 3e ra'( 7 / f / 6 vC Ge C 1-r-V g- 9r2 6 <br /> Comments from Inspector during initial inspection: <br /> 4,k1A1 0010(1 04- AW, _f_eivice, . 1,11, 11,01 S-e*Atit <br /> 41,1i625 <br /> f - oc ) <br /> Approved for issuance by: Date: <br />