Laserfiche WebLink
�<. APPLICATION for <br /> PUBLIC V4`ORKS PER.i�1I7' <br /> PUBLIC WORKS DEPARTMLNT <br /> ' ,, <br /> EVE ETP 3Z00 Cedar Street <br /> �°� [verett, �1�A 98201 4?_5 • J_57-8810 �.,,\��0�_�Z� <br /> f"�lJ <br /> Date � _ <br /> Owner Name: �r/� 'k're�vT_ �pplicant Name: ���� �5 �w'��� <br /> tsciimc7 ��rkir�ss �3Z ��K�'��^�'���ihnq AdG'ress' <br /> �r.�-�T �'✓/i ysz�/ <br /> Pno��e id�.in�L��. yZS� ��- /U� �'hone h7umbei. _� <br /> Descri�:fion of Work: //„�OVG� Gi«C � zh""o�e� „�-�C�"`�"' '"et� <br /> viKx-+� �'� fj�.4ss i.✓ �� /I?c1Y �/o.zz� o,J �� <br /> ( l�+i0✓o0 Gl�c� 7.J �7IE,� �%�a�/� �E.S ��i. <br /> (A drawina or pians rnay be needed 10 illustrafe work to be done) <br /> Site Address: ���y .p-GYI�eT�ZGG�— /�c�— l So✓rN �icr�_oF �c.�� �'�J <br /> Comments Irom Inspector during initial inspecfion: <br /> - _,�. , i f G-nG�_ <br /> E�,,�5 i �� <br /> f7 _ _ _ �'�rLc�y <br /> Approveci for issuanr.e by: --- _. _ . . . Da1e: <br />