Laserfiche WebLink
��-�� <br /> � .,�. <br /> P��av3 - o� , <br /> - APPLICATION for <br /> w:•. <br /> PUBLIC WORKS PERMIT <br /> PUBIIC WORKS DEPARTMENT <br /> ;�'EY,� ETI 3200 Cedar Street <br /> s'.[, > : <br /> � � Everett, �VA 98201 425 -257-8810 <br /> Date �� (� 1 _ <br /> Owner Name: 1 h� ��P � ny \O�^1Pc�h� APPlicant Name: l ��C�I,�P r ( ���?i �tt1��1 t'•taa � <br /> ��1a��l�na Addr�s�: ��OJ CftS� �lb � L ��1ci ling Addre>s: ���� 1 � t�u SSP I ��r„�e � <br /> [��e v,-�-� La I� M� � k;11-e o l,Jl� `1�,��� <br /> Phonc F:un•�L%;r: �.I�� - ���,� . �D��j Phcne N�mL.�•. ��,�`> - �j')5 - �� D,7�6 _ <br /> /V�C�C �rSC» - l�'-� in� 1� <br /> DescriptionofWork: �c��������� tic c. c} roUv�� t.oq�e � ex4✓ti��,�h ��iS�P �� <br /> �1711JCyG�1�C� SIr�K� '}VeC��l+l4'�T >c� �}.�rti C'��1 � b(.��1C� �h� <br /> GVlL �v`QG{�t�� W0.�V C� SC�1,�vCL � SCuCv�,_ <br /> �A drawing or plans ma/y�e needed fo illusfrate wo�o he done) <br /> -I�!% i 1 (+'� (l'''�h'��1�.'l1 -4--,.�'� � � f'�-f - I�t�P cnc, <br /> � <br /> Site Address: O �� ` c w � � � � � � � <br /> Commenls from Inspector during inilial fnspeclion: , � <br /> � ��� � <br /> �,,, a/,�,-�^�' � �7 <br /> / <br /> Approoed for issuance by: Da1e: <br />