Laserfiche WebLink
'p�,Jl2o-1- -oa I <br /> t,•`' APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> :�EY E7T PUBLIC WORKS DEPARTMENT <br /> ;�:��, � 3200 Cedar Street <br /> " Everett, WA 98201 425-257-8810 <br /> �Eo�9�9- �TE,�1('e��K �p Date 7 - /�- /�. <br /> Owner Name: ��E�'U� Applicani Nome: S��lc <br /> Mailing Address: �6 �O� 37� I Mailinr7 Address: <br /> SEii-rT� WR 9�l a�t <br /> r�no�,c r�umt�ec ya� ab6 - 3 5�,6 3 r�n�����: r��,�.,n���: <br /> Description of Work: �� �G� � GX�,g,v�/O/� �� y���U �L�� <br /> F�,,� 7� 7 ���-ftT�,��� �y� <br /> (A drawinq or plans moy be needed to illustrafe wark fo be done) <br /> Site Address: 3 DO 3 �.! , �Ff�/�J� /��_ <br /> Comme�ts from Inspecfor during Initlal Inspection: <br /> /1� .� � <br /> �� � � <br /> C�� <br /> Approved for issuance by: Date: <br />