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f�►N�ic� �-c31 <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: f.�Al1f�' nc/i �.tos'�Exi,�.3 <br />Date <br />Applicants Name:�/Cr��ci� 'f �i iUG� <br />Mailing address: /So 30 ,S�ru�o��l 9�l Mailing add�ess: <br />LY�v,c.I f.�e+d��� LJ Al <br />Phone number. 9b'o 3 7 phone number. <br />2�-7�3-&�3�i /J?�,�e �� lu�,�� <br />DescripUon of Work: -i- aK - 30o cu, y D, a f F � tt � <br />a�;� <br />C E'T 1� a �tX Fc.oa� �c.w..v 7t+ �I c e o»� rr r'7.�TE' _ <br />� <br />`fe ��+ LGAcc' i,bs� ces �OL'F�e t ia+�fD � I�- rriti,ub s!Med �ra4� <br />� �c �rs �l ti"74�� 1 <br />SiteAddress: 390 0 �Ps��cwrl*� �5►vE <br />Commenb from Inapector during tnitiai fnspection: <br />� <br />.� <br />Approved for Issuance by: ' 1 Date <br />