Laserfiche WebLink
N) 15 <br /> APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> wm— <br /> TT PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 425 257-8810 <br /> Date <br /> Owner Name: Gy►ltaili l Ut�nl'RN`� Applicant Name: <br /> Mailing Address: ;DO'S LA1I►VD T) Mailing Address: Vd f�A.S i1�lL� <br /> E V rWIT, WA 03;!Dl Ev f� .T'r, WA q i U <br /> Phone Number: 1+' 5- 2"�' Lj H q Phone Number: 42S-23,2-6 1"!12 <br /> Description of Work: J C 1l��� �/�� J`t�'l/11 ��IL111 <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: �t)o-� W L;A S N L till Ey ZiYrr.. wA <br /> Comments from Inspector during initial inspection: <br /> U ik1fii <br /> 311I I. <br /> s i3 <br /> J lJ Iq ® '01 !J <br /> u17 <br /> I r <br /> Perrpi$ gGrVii�r�:SY._._. <br /> Approved for issuance by: Date: <br />