Laserfiche WebLink
� � . <br /> APPLICATION for <br /> PUBLIC WORFCS PERMIT <br /> En PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 (425) 257-8810 <br /> Date � ,,� 1^(, �'LCOL <br /> �ok bf Evere.� , <br /> Owner Name: � _ _ _ T Applicants Name: �i5�'1e1Y�2.vC �.��5,�_ <br /> Mailing address: ��• �� � 3g Mailing address: I bl (o I�i-� `�-re2�' <br /> E�e�e�'i v�/� RBa�(o E�e.�e �.lA qSaol <br /> Phone nurnber: 4'a5' 2-S�l � 3110`(- Phone number: 42-5 -a5°I - 013�7 <br /> Pr�C'�: }Zcbe.� i1AcChes�e�.t ►��n: �ivi �u�Slo� <br /> Description of Work: e Q1TLlC-Y�Q(� <br /> -��ev�cl�.�'r� c��n� �'�. Ie�-�,'r�u a5 v�ca.s�-r� <br /> -� ��� 5���-��„�� �,,�1 <br /> SiteAddress: �011v I� ��i' <br /> Comments from Inspector during initial inspection: <br /> l '�/'��v� � �� � � <br /> VI � ' � <br /> � <br /> / � �� � <br /> � <br /> ��� ��, <br /> ��;') ��' <br /> � <br /> Approved for Issuance hy: Date <br /> C {�lG Cfn�o� r3SL�Q� ) � , <br /> � <br />