Laserfiche WebLink
APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 425-257-8810 <br />��� 13�� oG 3 <br />Date 1�� /�. <br />Owner Name: ���� ��U"�— Applicant Name: T��y �L C? G�v9T/l�f".7'10// <br />LLG <br />Mailing Address: ��,9 / �o'Z ��ST S� Mailing Address: �4 /iaS� /YS`�� <br />Bcrl�/CcL c.�.1- 9go/a-C• � /�'ii�c. c.,e,t,E,�� u/�9fs�S."j. <br />Phone Number: �G'�- YB 3'-a `fa� Phone Number: a06 - 9�o� -S�o6a <br />Description of Work: _' '�..��G�iGrf S� cT1o�'/S o�,B,ca/cF.-.�lf�'g�R� <br />Site Address: <br />� G'/Tf� SiO•r wNG/�. /L���'�` fL.� �s rn�/G Sio.c •��_ . <br />(A drawing <br />00 � <br />2/i �,v�r L O_ <br />may be needed <br />Comments from Inspector durfng initial inspecfion: <br />. � �� 7 t�� <br />v `` <br />Approved for issuance by: <br />done <br />- yA 5 s.� v s T <br />; � ��� �- <br />�f , <br />�� ��Z � <br />DatE: <br />