Laserfiche WebLink
APPLICATION for �� <br /> PUBLIC WORKS PERMIT , <br /> El7 PUBLIC WORKS DEPARTMENT . / <br /> 3200 Cedar Street /��0��-0�L� I <br /> Evarett, WA 98201 (425)257-8810 �� / <br /> Date � � 02-- ', <br /> OwnerName:�`b"�'��-`�> ��a'�^G�"� ApplicantsName.a`��AL7 a1c�-�3��-. I <br /> Mailing address:���V�— 2sti �`r "� Mailing address: ��'IJZ, 2��` A`� '� � I'I <br /> �v � v� r� �'1 '3Z�� I, <br /> Phone number: �'\2S � �'��� - �Z� Z Phone number. �'I2� -`107 -�2� � �� <br /> DescriptionofWork: C�-�A2,�J1— ��-���0�2-(�.��s f�•J� ���'7t7�-r��.sd, I <br /> �R�� N nl l_� Csoc�.✓3�--� <br /> a��a �'�„� ��� c,l�� � ��.2�1c yQ�d � <br /> Site Address: S�� `��Z-- 2c�� ic,�—�z �,.� <br /> Comments from Inspector during initial inspection: <br /> Approved for Issuance by: Date <br />