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. �� ,�� �� <br /> �'�' �`�_� APPLICATION for �'�,��I 1 Ll '�'� <br /> PUBLIC WORKS PERMIT - <br /> / �ry'��ETT PUBLIC WORKS DEPARTMENT <br /> ;n 3200 Cedar Street <br /> ��..� <br /> Everett, WA 98201 .425�.:�257-8810 <br /> Date ��"' �� �� <br /> , <br /> Owner Name: /'-� � G� �� ��- Applicant Name: �'� .� �'!-' i r��.. <br /> � <br /> Mailing Address: �C� � ��y�� Mailing Address: "� <br /> �'�`,��r,�¢.i <br /> � � ; ���� <br /> Phone Number: f�`�j�`�������hone Number: <br /> J G�V� 1 �' � �'x � i � Dllr.s_. � <br /> Description of Work: � % s �i���' C�.r I"' ��'( l�''� ���-'�/ <br /> -�`�� (A drawing or plans may be needed to iliustrate work to be done) <br /> Site Address: � p lS ' � � j�'� J�a. ' � � (i��'�'�'d, �� � Q�� <br /> Comments from Inspector during initial inspection: ��� l� ���1 <br /> �� ����� �/�,-�s,� <br /> Approved for issuance by: Date: <br />