Laserfiche WebLink
APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 •M 257-8810 <br />Date It - Sf -15' <br />Owner Name: Kr + s- � \i !JrN t t Applicant Name: Ro61 `Cou ✓► <br />Mailing Address: ��}Z� P,.tiLj �,f . Mailing Address: ��1 1(Q p5. <br />I -VG WGi iSf1D3 _ Mvk,tAz�z (-)ClggzlS <br />Phone Number: TJ 3f Phone Number: 4 L� • 2 3� - ct Z`i <br />Description of Work: 1.4 S ��,11 �' �J� (Jo}�t� <br />(A drawing or plans may be needed to illustrate work to be done) <br />Site Address: <br />Comments from Inspector during initial inspection: <br />o-t 117-51Z015 <br />,i,Y CDC- 4vt47F,< tears <br />Approved for issuance by: Date: <br />