Laserfiche WebLink
PIA/12OL - 007 <br /> y APPLICATION for <br /> PUBLIC WORKS PERMIT • <br /> PUBLIC WORKS DEPARTMENT <br /> w_� Ev 'ETT <br /> Ar!. <br /> 'f <br /> 3200 Cedar Street <br /> as <br /> Everett, WA 98201 .425,;,257-8810 <br /> Date 12, 120( 2, <br /> Owner Name: HAwAiiN 51-41-E P1Z0bkg-1.01\6 Applicant Name: M«KiPcEI- (ZO(31NSON • <br /> CoLUMBIIc 2A NK NoPA rINC <br /> Mailing Address: A\IF Mailing Address: 3011 S. L-tjjso NI ST S`tE A <br /> ES C-TT, Wr c1%/oTotcomA1 wer <br /> o ctcE czs3) tn5=7711 <br /> Phone Number: Z 25°1- (33$ Phone Number: CELL (2o(;) 60'4- S57Q <br /> Description of Work: Valli. "Two E.Nu i ttoN MEgTc4L c. 0 ft S L N S i`Fw k/e-o k"\J <br /> BCArekteLFS v4ILL. QBE CoQ ut( COMCv-CTE CJTTC j \j CTOvLiChoL by <br /> O 5 FT 73 PrCk R(1C- J UJ c-# cf Eb wi cork/CAC-TC— <br /> A drawingorplans maybe needed to illustrate work to be done) <br /> Site Address: 10 11 w_..W\TT s`s\\ • Q 1'!v Gp Lf31 /o-13O! oc7 <br /> Comments from Inspector during initial inspection: <br /> C nuA=25 errt /O%1 -- <br /> Approved for issuance by: Date: <br />