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; ENG/NEE?/NG/ PUBL/C SE/�Y/trES OEPARTA/ENT <br /> �,�.�,,,�,�� ��, ��,�" FIIE COPY <br /> I_ino-tiidr I'.Ir.uir <br /> 2b017 13?nd til til� <br /> �t��nroc A1'A 9K�7_' <br /> 121.: tiT:�"I l�ti OI '�'(11 'R l'I Il' UI I \'I RI 'i f l'I !t\II I <br /> .loh A�Idres,: I-lllti \1' (:uinu IZJ <br /> I'rrmil: IfU71_'-I11-11 I1111 ;un�� ,rn i�r f�u rrrli�irr ti�r ;inli-iurn,.iun .��•Irntl <br /> (I'Ic:�sc rcfcrcncc buth permit numbcr and address nhcn c:�llin�; or r�rilin};1 <br /> \rrordim� tu uur rriurJ, ihrrr h:is hrrn nu r�yuc.t (ur ins�,rrtiun �,f���xk undrr ihis ��crmii I�rc <br /> ru��� cnclosrdl. \\'r �cuuld ;q�preri;ur �uur .issisl:mcc in cl�uil�in� thr >tatu, ol'this pcnnil. If <br /> ���u h:i�c dcridr�l nut !��du this ��rujcrt ,u �hi> �imr. ��Ic:uc Ict us knu�c su �cr �•;m cicar Ihc rcrord. <br /> �Il�c li�'rrrlt liuil�lin� l'udr .t:ur, �hat :�II prrmit, rs��irc il'Ihc ��ork auUwiiirJ h� ihc ��crmits is <br /> siis�mndcJ ��r,ih;mduncJ lin ;i ��criuJ �,t 11+U J;qs ,iftcr ihr ��urk is rununcncrJ. �\'ork undcr Ihi. <br /> ��crmit ��ill n�, li�ntrr hr ,iWhnrvr�t unlr,s ��,u: <br /> I 1 I)rnwn,lrat�• run�inuin� ��ru�rr,; h� rcyuc;lin� in.��rrli�m ul��uik ihat h:u ��rrwird •in.r <br /> �uw I;is� ins�irrtiun. ��r <br /> _'1 Kr��urs� linal ins��rrti�ms u(Ihr ��'url: Ih,il i,cumplrtcd. ur <br /> t I Suhmit a ��riticn rryucsl tiir+i I S�I �t:i� rxlcnsi�m, dctailinp lu.liti;ihlr r.w.r fur eslrn,inn. <br /> i'Ira,r res�i�:uJ .rilhin 10 �I i�.. :\licr ih;d limr �rnn'prrmit lilc �cill hc scm tu aur Rccord, <br /> �i��r,ulnirnl li�r miirulilmuip �cilhuut J��rimm�l.itiun ��f linsil ,�pprucal "I hc,c rcrorJs arc <br /> ,i�.iilnhlc 1�� ��rus��crli�r hucrn ;in�l Irndin� instilutiun,. If�uu �cish W rcsumc ��urk in ihc <br /> tulurc. .i n���� �,ermit mu.l I�c uhl;iincd. �I o snc�Julc ins��cctiuns. ur tu disrus� thc status uf)'uw <br /> �,rnnii tilc. ��Irasr r;ill �ur ai 1•l_'�1 'S'-7'_(,I hch�rcn 9 ,i.m. ;md �l p.m.. ur ron�arl mc hy c-mail <br /> ;u mmrlrinl �i �i.rcrrrn.��:i.u,. <br /> tiinrrrcl�. <br /> /V/an c�nQ��G�� �'+v� <br /> �G — c� - v y N�� � Q� p�-ns e <br /> �t;ug:irc� . �r�.r„d t (� <br /> ItuilJini� lli� i.wn ����(.i � 1�� �11 • <br /> CI l Y OF I Vf RFl i • 3200 Cedar Streel • f_verett. WA 98201 • (425) 257-8800 • Fax (425) 25i-885G <br />