Laserfiche WebLink
l . � <br /> APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> ET7 PUBUC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 (425) 257-8810 <br /> Date /1�18�d0 <br /> Owner Name: �(/antPd re%em C�rou� �AT6� Applicants Name: Av�tQYiC[!n �iN,� �Gcclders <br /> Mailing address: Jlb S4cn� Pd�ink �J. .�."`� 'F�• Mailing address: l89/S 14219�i4Ue• /✓E SFe. 21J� � <br /> S'a N-4� :Qos r /( 9S�io I �/m�cnuil� , WA 93'D�Z <br /> Phone number: _�?03� 28'►{- 424D Phone number. �4 ZT� 4�r- ogy0 � <br /> EVT OD) i, E�IY-C)D'z <br /> Descrtptlon of Work: -insfu.11a�on o� �{ '� Coid�u.t tu�lt �fY All-1�ieleca,;c. S�l�- Su���±;w <br /> ��IDS�> Fi�b..- beJ,�eQ1t ATl� '' Na(e a, -{A.t NE rnnv� s�' IJaU S+, et«d <br /> �'�j�, /�u� amd r�sers ne e�crs��Ka SI�IoVUD mles �2� �,v bLck� <br /> �o -if�.� ea.of�u�est . Condu+�t wrll be pu,i�rd by hbr;r�, 7h.�a <br /> co►�s�h-u.c.-h�on is in e.on�w�nc-Non rUi-Fh -1�.� ouerkAa. �xn�u.t . <br /> Site Address:_(.c�ciU S� . J, eo��v IQVC. <br /> Comments from Inspector during fnitial inspection: <br /> N¢¢.�l {�y�( uSe Per��'1' . �/ U � <br /> Approved for Issuance by: Date <br /> 1 <br />