Laserfiche WebLink
N--(-z0g --00 <br />Owner Name: <br />Mailing Address: <br />APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, NIA 98201 425 - 257-8810 <br />0rnrrSL*sc rL S 1 Applicant Name: <br />A9o)C I Uy .2 V Mailing Addresi: <br />9r1/ Cone k Vq /kF2- <br />Date -2-2C- -2o 2— <br />C.orlser5Lt ELW'as Ut <br />_UII I& r / yya L/ <br />f ��n rf,' H l Mj U, 5-rGg,2 <br />Phone Number: y„7s -.j5 �,L S�- c- Phone Number. <br />Description of Work: //f-,.'�„r- <br />z� <br />(A drawing or plans may be needed to illustrate wail: to be done) <br />Rog an <br />Site Address: A�FC-s- ,iCj !s ue r)I) 4 (cn44� LJ <br />Comments from Inspector during initial iinspection: r <br />As 12IPOJca>< hw 6ecr\. e?CC Jr�' � r p �,'� , � J; ham. l <br />6j3w `2Ttd to jc,, /, II <br />ColrvnzJj tor^ Ames Z00 fL <br />e 111"�Ic >!r , &.. Al cys <br />Approved for issuance by: Date: <br />