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� �������, �` APPLICATION for � <br /> �� <br /> PUBLIC WORKS PERMIT - <br /> ���� �,����,rr PUBLIC WORKS DEPARTMENT <br /> � � �.�; �� 3200 Cedar Street <br /> _ �... ., <br /> " Everett, WA 98201 425-1 257-8810 <br /> Date ��'� �-(� ����/ <br /> Owner Name: � '�- ���'� � `������������ Applicant Name: ��i � �'� ��'s ��'✓{�7��'l�'c. <br /> � �/ <br /> Mailing Address: � �� "'' '� � Y ' � Mailing Address: <br /> �'�',�,-.�_.�; v�,,� <br /> Phone Number. ��5�� �G�O `7��J �7 �G Phone Number: <br /> 7 - ' i <br /> Description of Work: ,��1,����� -���'1 C.� G��i��C��r,� ����� %�' �L.f- ��.�- �i,,�� � ,, <br /> /l� /"i��lz� ' ��2 " � <br /> �, � �- .�L�.� � r �Q� ���t���s f���.��z <br /> ���S C�C ;=�� �-C� ��l G4 -�i� I�/�C k'�CJ/"� <br /> �A drawing or plans may be needed to illustrate work to be done) <br /> � �,? �' ��" � �V'� <br /> Site Address: - <br /> Comments from Inspector during initial inspection: <br /> Approved for issuance by: Date: <br />