Laserfiche WebLink
APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />Owner Name: PG ��t,�d T�rs�S' �,�io,r.�,/i,�G <br />Mailing address: 7��`/ %6 �� i✓E <br />lIi<<r s'u,i/; Cti/� �'�'z7c� <br />Phone number:� �ZS� -3.�0- 615� <br />Date l2 15 O� <br />Applicants NameLn,o S1��uo�iv�� Cc�nCP;��' Co,�� <br />Mailing address: � �- �oX -�� <br />S�o�iom ��12 [-dA 90^' 29/-GY�S� <br />Phone number.��-fZ5 � 3?_ 7- 7'-f72 ' <br />Description of Work: NNttl f�����r�'�n CA��� ��`��'�` �/Jc'[1Ar .S�/'U��e- S:dJ�:��<< <br />rQ�a�r <br />/1lQoJ` mcr/c,/Teo G!/u.�� <br />� <br />: S� ✓',alc��/C ti�%'Pl�r" <br />r PL Evr�r� i✓rl c7oT�,y — <br />Site Address: /0�23 / % '" [d. <br />%C5 2 � /! ?` /�G 1,�, F��T'C% [dA 9k7.�v - <br />Comments from Inspector during ir�itial inspection: <br />cJu,-��� S� f�- � <br />S�o/res.r,ue,- <br />Approved for Issuance by: Date <br />