Laserfiche WebLink
APPLICATION for � <br /> PUBLIC WORKS PERMIT ,�.� ���� � <br /> fY ETT PUBLIC WORKS DEPARTMENT �,-����-� <br /> *`' 3200 Cedar Street ��� <br /> Everett, VJA 982G1 (425) ?.57-8810 I <br /> , Date � ,� �'S <br /> �2�`�� ��SiYCP', II`�1Z�1� S�Sf�v1il� � <br /> /��RCF�' L.�J-f iWit��j-nrCTtir/ ` /J <br /> OwnerName: cr� {- ,1�rT��%3 bU.A?!.;`G�fsuf//>ApplicantsNaire:/t��• �"�0,2tfitXrY u1UV,d�/`1 <br /> / Pf <br /> Mailing address: ���' /����L1�-�C . U��7V� Mailing address: _�`( 7/`7 /�� �`l �,f�v}t� <br /> ��) !,�'� ��1� � �5 L L 5 L�c4 f, L✓,� i l��f.L.�� <br /> ��VC`.L.�1 -�,. , '�iL� . <br /> Phonenumber:;��il� I.v�tCrlo(3�Jz5�?s� �9°LPhonenumber. �(z � `��-1 �-1E,61 �/ � <br /> /L(�G1�1(�L I).�r20�c�Z <br /> �� � � � <br /> DescripiionofWor�.� i�z �LGlt-2�r(4 �75 ��'11�rTlr`� /rEC��lv���4 <br /> ),! � / /J n � <br /> .?�l 7`I�::F.2 /L�-R4�✓T� L.-/ �sEILi 1�12 "'J..KI��v�`:�\ _ <br /> (,�/'�G �7f S`G�J �.�L �-L l;✓�£ <br /> / � <br /> � /' � �/^ �Y� <br /> '�",� C /-�"�(;" �.: � <br /> Site Address: ,� � I � � '� :"��_tz� T � - <br /> Comments from Inspector during initial inspection: <br /> Aoprcved ter Issuance by: Date <br />