Laserfiche WebLink
i <br />� i� a <br />:�� - <br />� <br />y�° <br />,; � �`� �'-� <br />�--::, , <br />f� � �o �-- o� � <br />Application for <br />Public Works Permit <br />Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 425-257-8810 <br />Owner Name: ����—' `�� Applicant Name: <br />� . <br />Mailing Address: � I �-(J� V�ailing Address <br />Email Address: <br />Phone Numbe <br />Contact for Permit (Name/Pho�fe/Email): <br />Date: � 4`�.J <br />���� ��� <br />EJmail Address: ��� <br />Phone Number: <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 />Approved for issuance by: Date: <br />