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09.104/2007 14:44 FAX <br />`�yv �%0 02/002 <br />�wCrlr� �-GC0 <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORD OVARTM1T <br />E3w4k WA gt M (426) 7418% <br />Al <br />Owner Name! U az <br />Mailing address: 50100 <br />�A- f.t `. WA �U ZO / <br />Phone number. y2 '2S� -9ilo <br />Date <br />Applkanto Nam:�C (• b /I V' <br />address: 600 K i1/ s o ze <br />Sea,4*6 IA/R . Q8 01 <br />Phone number (206) R 2 -R60 ' <br />/ s � <br />Description of Work ce s&P <br />a4u#,4/r /� -ame r.��) ate— o.�e 1,) <br />t e &R�rcQ 48 - 57 Z oW 4(WaW � .#i�tok'�/,9�c <br />nd/40.,6G La 'ela aw mkgowv ®topes <br />S� aw6x hx vot �AOOO�A <br />Site Address: <br />`�I 331 rde4,a e ,9-rf&aa` a fa / rZA <br />Commenh from Inspector during Inklal Inspectlon: <br />'— �C/cSflJ�t' GD2>� � ��- o�-' G'e�c'•- CIIhC�/7�2✓1 <br />Approved for Issuance by: Data <br />