Laserfiche WebLink
• • - <br /> �VU iN I �d t-� � DU � <br /> �,;,;. <br /> Application for <br /> �, <br /> ,,,� Public Works Permit <br /> ;�. � ��� Public Works Department <br /> � �: <br /> �� " 3200 Cedar Street <br /> Everett, WA 98201 425-257-8810 <br /> Date: �(Z i � �S'� <br /> Owner Narne: ��w`^�> �.\c�.�c, � •-� Applicant Name: Sc'��'-�-e- <br /> Mailing Address: `����� � >��J.2-�'c'-� Mailing Address: <br /> �.u.�<:_ S-�✓cz.,`�� l,u� �(��� <br /> Email Address:��,,,,�,,,,\II���c�.��7Lca��^��.� ����ail Address: <br /> Phone Number: �Ez��- Z3`i -Z�3z-� Phone Number: <br /> Contact for Permit (Name/Phone/Email); �1��-^z-- <br /> Description of Work: (��<�-�-v.�"�c.��e..� .�C-�-^ ����• �c'?� �^�� �,�'��1 `� <br /> � <br /> �,,� �`LIS� -�- 3�l `� �����`� wc�.�� � �-��.��-� <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: ��(�� �-- ��.( 7 �'�7�Cs-�(�Jc=� � ��.�V�-t__ <br /> Comments from Inspector during initial inspection: <br /> Approved for issuance by: Date: <br /> i <br /> C <br /> ,.�-_� <br />