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ofS <br /> rApplication for <br /> tom-7 ,3 kms' '' <br /> Public Works Permit <br /> Public Works Department <br /> E4= 1 3200 Cedar Street <br /> Everett, WA 98201 425-257-8810 <br /> Date: O I /Z(.7 <br /> Owner Name: ►\W CL U t ace Applicant Name: Maher li1II f a�,+ <br /> Mailing Address: )2D S 110`x^ Si j Mailing Address: UST/6 5-64141 , W <br /> 1`8 2-o g rvt v. r 14/19 18 02-C <br /> Email Address: b, , _ I) • u + Email Address: Ma erWet9t-- <br /> Phone Number: 42.5-5.01 -- 644 J Phone Number: 2-e%' --g 16-0 Zf-S---S- <br /> Contact for Permit (Name/Phone/Email): ivcdA r velar Haiw!lileicy&a na,7.6 <br /> Description of Work: /g Unf¢r <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: 590 Pill Vat j2(a�z <br /> Comments from Inspector during initial inspection: <br /> Approved for issuance by: Date: <br />