Laserfiche WebLink
APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (4250 257-8810 <br />Date <br />Owner Name: ToS Yty F�U14 Applicant Name: Tc<-,,hve�c 'Fy r✓ <br />Mailing Address: 52.e N i o i Y+ SJ ►'� <br />5ea,-0,-Ce) V A 10/33 <br />Phone Number: 2Ob_ W I 01& <br />Description of Work: <br />Mailing Address: 3 25 N 10 f s+ S' <br />USA <br />Phone Number: 2-oG • —7,P) i - b is,(:) <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: )?D 1-2 L Li AM' VY I V-e, <br />Comments from Inspector during initial inspection: <br />Approved for issuance by: Date: <br />