Laserfiche WebLink
/�&�IPl,,.IC,pal'IO N. �O�' <br />PEJ�L�C �/OR.KS PEitMTT <br />PUBL.IC WORKS DEPARTMENT <br />3Z00 Cedar Street <br />Everett, WA 9$201 425 �- ?_57-8810 <br />Date jQ - Zfo -7�1 S <br />Owner Name: ��- ��C �u � Applicant Name: iiAr✓1�-�-� ��S <br />Maiiing Address: � 1R l-r G:�A�r= ti�� D S�� Mailing Address: � ��) � E�5,2��C'.Et� 'w�`1 <br />S��A�—�.-�5 l�.�— L�It�— �,c��' � `c�7 Z�' <br />Phone Number: Phone Number; ��Z�j� ��� -�(r��Cj <br />Description ofi Work: <br />Site Adctress: <br />—�NC�� - � �t � � , !�-�,o_ti�c� )1 Z ;-► � s � .s� <br />(A drawing or plans may be needed to illustrate work to be done) <br />i 1� 5� �v��� wd�� ,v��Li,�'i-s— c.�,� r'v'�4 <br />Commenfs from Inspector during initial inspection: <br />Approved for issuance by: Dafe: <br />