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APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425- 257-8810 <br />.� <br />Owner Name: ��^'`� �"' �� � Applicant Name: <br />/, S� r <br />Mailing Address: C 3�� 3 �`'J��r" tt'ti � Mailing Address: <br />��-��T' , i.;,� <br />� <br />Phone Number: <br />Description of Work: <br />�<.1-� <br />Date <br />Phone Number: <br />�v'���� �� � CiO� <br />� e��t� <br />, <br />�I �(:�1 -L��� <br />l� <br />f�,�� lMo�s�. <br />��'Z 17 f` d�� SC,r <br />�� wA i �t <br />��ZS `f7d�'�� � `!c► <br />� <br />v <br />Ccct- o(- <br />(A drawing or plans may be needed to illuslrate work 10 be done) <br />Site Address: �� � �� � ��� �� � ���-- <br />Comments from Inspector durfng initial fnspection: <br />lF� <br />Approved for issua;�ce by: Date: <br />S� LL'��.�_r,-. <br />�,., �� <br />