Laserfiche WebLink
APPLICATION for Il��( <br /> PUBLIC WORKS PERMIT �`� <br /> �� PUBLIC WORKS DEPARTMENT (`�� <br /> 3200 Cedar Street 1 <br /> � Everett, WA 98201 425-257-8810 <br /> Dafe �/r� I�,1q <br /> ���iC.���i�S ^ <br /> Owner Name: , �(.n5(��'1 � ���(i APPIIcant Name: � I'�{r I�1 i�� ��r�'lf�'l�S <br /> Moiling �ddress: I33� '-�('� ��' . Maili�g Address: �l }�\�� 7�v� <br /> _I�J�-r�-1--r rV�l{� 9�'�G I �CvYre+t, �N f� ��`'�2c� I <br /> Phone Number. ���Zt7� �j2Z- Cj��G'- Phone Number. �qZC�� zj'LZ-GJYjq�" <br /> �escriptlon oF Work: U V� �l�i(jLl�(� � ) ��' �(� ���-�-�� (� i �'� <br /> hC��� � � ��c� �id2 �arri t� fihe S�c��v�,c�l k <br /> ���-,d r,� l lev . Il��� -(��� � �� v�� � � l h� �' Prl�'��� <br /> (A drawing or plans may be needed to illusirafe work to be done) <br /> Site Address: ��� � �-�(�\I � /'\1f e � �\��Y���� -}' a �(�I 1\ ��� � <br /> ;. CommeMs from Inspector durfng initial inspedion: \ �'�"�h`'� 4�' 1�"� "" ��' ' " '� <br /> � <br /> � <br /> � <br /> �-����,J��.l�c., 1=��-i��u� ���r� I��e� ( 2�c � ��p�3 Srt � l-,..� 13',� N"G Mit.i-tP�� <br /> 11 � <br /> j iA � � L,� �il i�+[ � —��w����> ��C��� 6ti' /i�:� �i-� G ���'> F3fY <br /> N� 17�[,� ��%��� <br /> ,�_h-. ri_� ' <br /> �_' . ( Ri �����1-1� UI`�rl'C�li_i'r � '>����G-.`�S A�T c-p:LNh/Z� i�` �� <br /> �t L�.V`� E aC __ . <br /> /IS� r1� Cn.�.., I�:ZiP�r�� � � �� r-� `�nC �'�> ���� I. L <br /> II� ��rj'�s�Z _.� • <br /> Jl-1i'tN ->L , i�ML3'i� 4:12_� �WZ�s�� I,.� �rtx "' FTc_ � <br /> ` i <br /> ��(� ,,,`I t' l Z t_'" 12. .L F- 'e''.l,C,' -� <br /> � I� ., ZJ � �Z� i{ lt3 �GY�1 � � � , <br /> 5 �z ) L)�G�/L����YL /`� ��i Sr'L�yJi�'S�i FG/C �c`�l�ha.'"L/i.L�f� F7t-NC�/�C �� ��<,�/ h�"j/r�C <br /> iL`�`-E-t7S 7Z /��` /-i•"r1Fc�:,,.c1J �ti� /<'/!, l�T n,z ci,;,.�, /F � <br /> Approved tor Issuance by: Date: <br />