Laserfiche WebLink
APPLIG7'�ON for <br /> PUBLIC WOR�iCS PERMIT �o?. v i � <br /> PUBLIC WORKS DEPARTMENT �� 0 <br /> , 3200 Cedor Street <br /> Everett, WA 98201. 425-257-6810 � <br /> � �� , <br /> DaFe L��7�� .—�"�� <br /> / <br /> Owner Name: �1t�liJ,���_�%i�l'S Applicanf Nome: ��`�ljf%� ���sa/��s <br /> Moiling Address: �� �� .J QL�,(�f /'.� sr Moiling Address: �1�a SC�CL/ZCGYS'f A/� <br /> E✓�y�� t��/1 y�t.�o3 �v�no t Z� 9�ao� <br /> Phone Number: /./�/'_ ,� r�.. .'f �j y Phone Number: '�.,j,��51-j�,j� <br /> -f-� <br /> �e.�dpno�or work: 11 o�D�Q C�P �fi��!l������1/d:�.fLf-l�/� <br /> I'e�us.e 1��� �y�v.� <br /> (A drawing or plans may be needed to illustraie work 10 be done) <br /> SMe Address: ,�a0� JG��I�IC�f �!� �r/�r�l� <br /> Comme�ts hom Inspr,efor during Inifial InspecNon: <br /> Approved for tssuonce by: Date: <br />