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TJ;I <br />t+ �w„ <br />; �:" ETT <br />r:,:;,::: <br />P►NaRvc -ar Z <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEf'ARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 • 7_57-8810 <br />Date l ���; ��,� <br />OwnerName: ��Mvt��`(-Cinr_�_ ln('('o��iO�qPPIlcantName: ��tlir� •�n��r�: ��rlvrn �t•Rti���l-'xc'. <br />Moilingi�ddress: ��CO E-FnEF'/1� �� N�ailinc�Address: <br />�.v��rr �-✓n `1 ��201 <br />I� t L� W. /1%!!�'INE I�6tJ�". SIC iC%D <br />C �c��rr wr� �� ��zc� � <br />Phone Number; �'j!�- Jej�j.-7t{�f ,3 Phone Number; �I <<? 2� 1 �I C� �-1 <br />7 <br />DescriptionofWork: hIUC�'S�I�E- �'T( ruLL� �T� � ��l'E /)C"CESS k'GAl� <br />/1"Nl� P�I VFI'TL Iv`/11T-1' L/NG EX7ENS/C:itl <br />=�onn �'t��r7ti�� (��r�1urY z�G��zc-1=«��,1 Cr1CCrr�q�l7on15�'c�vmc�. <br />� drawing or pians may be needed to illustrate work 10 be done) <br />'I)�'�1iv�NG.s C=1 rar'« CG.� /'r-�wpt1>- <br />SiteAddress: .37�'� ���11L���lY ,7ti'En,U� �,C—���L-Ti . !v'l, <br />Comments from Inspector during initial inspection: <br />Approved tor issuance by: <br />Date: <br />