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/LPL'/il ui�(t_l <br />/ire5 le, <br />Pre V/jlla <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />Owner Name: EVerA SVti\'O'J `AL <br />Mailing address: I Ut in I44k `ak<fe+ <br />L-Jere t,,)A g825c? <br />Phone number: 0 2 S z Sri 613 <br />Description of Work: <br />s <br />I'W o70-)-ir;L <br />Date -I ( 1'1 I Zcx 3 <br />Applicants Name: Sti�K� <br />Mailing address: :;uV <br />Phone number. X,'"-L <br />rC <br />Site Address: 27130 FRA" A.i eA.t?e I eJ4?(7� LAA <br />Comments from Inspector during initial Inspection: <br />Approved for Issuance by: Date <br />