Laserfiche WebLink
Application for <br /> Public Works Permit <br /> Public Works Department <br /> 3200 Cedar Street <br /> Everett, WA 98201 425-257-8810 <br /> Date: z-(1-1C0 <br /> Owner Name: fbrf af- were/" Applicant Name: ,3ratndart t t)�ietta .ems <br /> Mailing Address: /WS Cra Y-srnai, taty Mailing Address: Sara& a o dwn.2r <br /> Su.vte-2 O <br /> 1<uereff; W R 88201 <br /> Email Address: — Email Address: bt.ohafr er&frntof'eere-eorri <br /> Phone Number: cFZS'-2 -3(Ci 1 Phone Number: 1f2S-388-O613 <br /> Contact for Permit(Name/Phone/Email): B122r0o, a)hr' cer; 5F2-S -Cees(3 1 <br /> &Oki kms&parfafeveret cam <br /> Description of Work: LL ;ear i • tem. . , �� <br /> le> ctb two hare_inn Boxcar Rta'k _ p rf-'M.e_lar r Plate Ce-Air-41 <br /> r�t.i!!!•.[. . li •_I - i e. LL: • 4t ��� ' 7D(.!-/1Uzu'v/I. <br /> (A drawing or plans may be needed to illustrate work to be done) <br /> Site Address: 1716 a) Mad-010. Vc.2.e0 lJriute?, E 'i WA R82-01 <br /> Comments from Inspector during initial inspection: <br /> Approved for issuance by: Date: <br /> 02/2013 <br />