Laserfiche WebLink
APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> � 3200 Cedar Street <br /> ` Everett, WA 98201 425-257-8810 <br /> pate <br /> �j�� fi �� <br /> Owner Name: ��� � � � �- �d'J Appliwnf Name: r�l O 1 J� � 13�� ) <br /> Mailing Address: ��,�— «-j�-�Z Mailing Address: <br /> �� � t� lh;� �'g 1 C� I <br /> Phone Numb`r �_� �,�i�j(��,��j� Phone Number. <br /> C�� LC <br /> Descriptlon ot Work: � NS��-�_. -}�\VL��/��` ��I�J�L S'� <br /> (A drawing or plons may be needed to illustrate work to be done� III <br /> Site Addresr. ? r�IZ � l S��a6�, �T <br /> t;ommenfs from Inspeclor during initlal inspectlon: �} ��"S �����Y�" _" <br /> sJ� <br /> ���. �,�(�S l�lF{�l�- <br /> � `�F �.�,pe.�� -�S <br /> ——� j�c C� � � : »u l.L C�t � � ��� <br /> ' C �i� L ! T�� <br /> � �/ !''�- �✓,��-� � �7%u icc C��r "��C� <br /> n` 'S. �- �1�./ � �� <br /> � � / l. ! i l.' L' �1��,�[� �O �15 <br /> ��-...s� , s '1ac.ti,7 <br /> >-'��"�� � �1'L "ta�'":s <br /> , • ,�7`;' :_.� �.'..., � <br /> � ��r_ r��..! ���• � t� � �.-��C" �\ `�7 <br /> Approved for issuance by: Date: , <br /> . 7 <br />