Laserfiche WebLink
APPLICATION for <br /> PUBLIC WORKS PERMIT <br /> � PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 (425) 257-8810 <br /> Date a � ) H ��_—�— <br /> Owner Name: n rc>,J 5,,, ( he',,,� Applicants Name: �ln:.:«, � �r, I he ' ,� <br /> Mailing address: "�7pz �r;�,- , /�ve Mailing address: 3�-{-r'��� Av� <br /> C�,P�ei-l- wR . q�zo� �.vp�� ��- . wR . Gxzol <br /> Phone number. C NZS) 2 S�_O`5�- Phone number. (N`�) a,5 _ o'S�� ` <br /> DescriptionofWork: Pi.{;,,� � �e��, ; ,� _ \ � �•�,��, �� �,,,� �d�i` <br /> v <br /> ao e�, 1r•,� �Le>_ P�„ne-1v <br /> Site Address: '�7� Z �,'dc„ P��o <br /> Comments from Inspector during initial inspection: <br /> Approved for Issuance by: Date <br />