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itAPPLICATION for <br /> PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT ,Olg <br /> ETT MO <br /> 3200 Cedar Street 0 <br /> Everett, WA 98201 425-257-8810 <br /> Date /d -- ,4' --/( <br /> Owner Name: J/4 /56/24/9 g Applicant Name: % 4./A7 • <br /> Mailing Address: 7 7/ / "%13 57/1/ailing Address: s <br /> �A Sid CiA 11;7/ <br /> Phone Number: 4.5? T /L4 Phone Number: <br /> Description of Work: / , 'L.,1Gi L,.e;) 6(24T,P <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: //, / �1�� �� 1/��� Zr2d P °/ <br /> Comments from Inspector during initial inspection: �/ /0- Z7- 1 I 7 <br /> nictf-7T /7,001711in) 7---$-1c z9-7/2J- z L I)& <br /> 17/"Y- -7-12 <br /> m,4?(,/411k4 90 4T 44 5,W-6e; � sK ✓&xvArvu 1441- <br /> 4)/46- <br /> /4L4UILL 9 r v ` -U= Dl's D <br /> fen7Iv GdWX--/ 6vt/ 7z7 / ` 'Lpt/4.4l H/Av, ��1' �F ✓IC C1�u�s <br /> ` 1- fizio-rz ecrv' A✓c, <br /> Approved for issuance by: Date: <br />