Laserfiche WebLink
� <br />�� � �'� <br />;��;, <br />�f ° : <br />� _: - ft/ ETT <br />��x , <br />Owner Name <br />Mailing Address <br />Phone Number: <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425 �- 257-8810 <br />r � <br />/ ���' �v�'`� � ��� Applicant Name <br />3 C� �, <�� s" .!� ���� , 1�' Mailing Address: <br />`� Vf'/- F' � ✓ �l� �% j <br />�,l ;� � ,� � O — J� � � Phone Number. <br />Description of Work: <br />Site Address <br />C`%N�E� �� .�v�> <br />Date � � �,ji%�'� /��// <br />,��� �� 'fi�t �; c�c��`-� <br />� <br />� �' `��-- ��� r�� /a,�—�- <br />�v;.'r-<' i/ � % �� l� l <br />f �-!> ..... � . S i -.. �� l�<r. <br />� i �o �J� �'� <br />r�/� � 1 � r—T.. �� ,� � � i D -� j � ai�;, � ,� %,6 �"' L�C� <br />(A drawing or plans may be needed to illustrate work to be done) <br />, � <br />�%��"✓ � ,�'P ��i��'✓} ��/'% r'/`-� -- �!/t��'i' /J , %��.�%,/� <br />Comments from Inspector during initial inspection: �� � h! ��� ^�'� f� � �> 4:� r c_ :� <br />? l�� a� 3 c���v 3�G ��'`'�� ; S <br />,� �� � � -� � � <br />- � <� , N - j r 4 r i,��� �.F �-' �� .�. � Jc� ;,,c� � �-i% %� <br />���`�� G���h , <br />�� �� <br />� �� �� '� / S �- �, r%E- � S � �P �..� � � <br />��� � <br />Approved for issuance by: Date: <br />