Laserfiche WebLink
APPLICATION for <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 9c201 (425) 257-8810 <br />Date <br />Owner Name: ��Po< �i19 H%�(� <br />Mailing address: �I`��i I 4 �� �� Al%br c�� <br />l � ne u?G� Glr,`�lc� <br />Phone number: Q�� — �i2U" �'�� <br />Description of Work: <br />0 <br />Site Address: ?�_p .�%��f`' <br />Comments from Inspector during initial inspectlon: <br />Applicants Nam <br />Mailing address: <br />Phone number <br />, <br />Approved for Issuancz by: Date <br />.� � iy 1 ��� <br />� <br />o c <br />� <br />