. • / IY/ ��
<br /> � ����� �(,�D1v07-G-�7'
<br /> APPLICATION for ( �
<br /> PUBLIC WORKS PERMIT ��'�p' ��
<br /> PUBLIC WORKS DEPARTMEtJT �'
<br /> 3200 Cedar Street j . • �
<br /> Everett, WA 98201 (4250 Z57-8810 / ?��� J
<br /> r (,;t� 1
<br /> '' L,l Ct,�✓`'-',
<br /> � 3 � � .
<br /> �� '� � Date � _ Of
<br /> OwnerName: Po/�T oF E�F�P_��'T ApplicantName: ����� G�^�S�'"���
<br /> Mailing Address: �,�[j Y✓D 5�-����Mailing Address: /SO,� G✓ESTL-�4�1�� /v
<br /> ���z.��s�,,�v,a 9�z�� ��crr�/ w�e p�ia9
<br /> Phone Number. .�� �- � �j — 6�ps Phone Number.
<br /> Q��vsr.ac` z�3 �f S" Pv� SEw�e2 .o.�� z �.,g��
<br /> Description of Work: D/�'�''''�91�i� /y'A�f�k�GE .S �j- �"-��� s�
<br /> � 1NSf�c�c. 'Z-b t�� _
<br /> S� �✓ T �
<br /> _ � �,.
<br /> , l' , / �' • /' �,. �„ � �
<br /> (A drawing or plans may be needed to illustrate o e done�; ;-, .�
<br /> ✓!i,. ���(-;�.
<br /> ---�P'�Z , -�
<br /> � �Ty 2� <�,;:.�..
<br /> / O 5 �i`G, Sf��' �',��� ��;, ;�
<br /> �;�
<br /> Site Address: "
<br /> �; ".;,
<br /> .: C�S I T
<br /> Comments hom Inspector durfng Inftial inspectton:
<br /> �,�� ,,, , ,� ; ��, �q� .������� , ,5���
<br /> � . l.. , � { i [: �+=- ' � , - � /,- ` ---� ,�'
<br /> � �, i ;E�',i.� � -�
<br /> � , ,5J%- � l=:.i1�J�� �1 i,�+ E (j�J rC.L (2 (% Ui lL( �D .---�C G� , �,
<br /> ' �: i� �'�.,P,�� ���,� �r������� � '" JA��x /�i���✓, � �_
<br /> /1��.� �LC.� 5 � CD/UIO E.CT7 U/� �0/N%: p r� �y r� �NLI'�-� ��
<br /> nZ3ov� ' P �" --�v� ov�iu, ,
<br /> (�e ,.Y,o vr ct- L� . E ti.1 / a
<br /> �y! ,C/N - �t- � , � .
<br /> r, � �, � � n� Joi�J �l Cl �-' �����f��T� ���-�. /. f�
<br /> � , � .� � � �' n�l'" � .� �� � , , � • � ?
<br /> iL ,
<br /> �il�;� '1 � �{
<br /> Approved for issuance by: Date:
<br /> ��
<br />
|