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APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> ETT PUBLIC WORKS DEPARTMENT 7011 <br /> 3200 Cedar Street <br /> Everett, WA 98201 425 257-8810 ptj /0 o <br /> Date it b <br /> Owner Name: � / ` — Applicant Name: <br /> Mailing Address: \L j 0 \ �� Mailing Address: <br /> Phone Number: S(.S9 1 Phone Number: <br /> Description of Work: Rv v clP-i Com' <br /> • <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: O. © \ L•V\1- . <br /> Comments from Inspector during initial inspection:l <br /> 5a-1-15A-ex Adu A-t-tw6, R.44-1/.7( - 6/2/ f//24'1( <br /> e_. - i 1,4)6)6 4S`- – -51 — warc, 31,1leo v <br /> F—/No ca i i) "tiore <br /> Approved for issuance by: Date: <br />