Laserfiche WebLink
APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3Z00 Cedar Street <br />Everett, WA 98201 425 • 257-8810 <br />Owner Name: � � I i�1 :_, �� /� �/� Appllcant Name: <br />,. <br />hlailing �ddress: ��5'/`I S � ��l `� (� �.lailing Addiess: <br />�A%L�irf_ IA �: <br />� � ��// � �`�-� <br />Date I% ' �z � l' � <br />r i�.�; <br />-� � /ri i' <br />1-'hone Id�n il�or. ,' �� � � !, ��� �'� Phonc I l�mbei: _ * . - <br />I <br />Description o( Work: � �1� `,J �ti �� � � ,�,' ' � � (�- L n N G <br />�� ,, ,�cdl. .ti ,�•-D - <v <br />�� clrcnving oi plans may be needed lo illusfiaie woil: lo be done) <br />Site Address: '��3/ %� �i i Ir <br />CammeMs from Inspector during iniiial Inspectfon: <br />c. L � <br />Approved lor issuance by: Date: <br />� ,' <br />