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i���� s. �nn�� <br />:NG/NEEli//YG / PU6LiC 5E/zf�/CES OEPARTMENT <br />r;�,isl'�ui:��iic'ii:�i i_,�:�aiiii it <br />��a �nuitri_ i�it <br />�[v�atr:T'I�.�vA ��szn� <br />Rli: S'I'A'1'USOI'YOUR(I'I1'O1 I.\'Ifltl['I"fPI[IZ\1fI'(Sl <br />.lub Addres::' 72d LAURIiL DIZ <br />I f 6 L �I �d f' I <br />P�nniL Ci)7U5-(125 (I3uil�lin�. I'lumbin��. �lcch:iniail (ur,nl�litii,n) <br />I�U70G-(13f, (\Virc additinn) <br />(1'Ic:isc rcfcrcncc buth permil numbcr and address �chcn callin;; ar �critin;;) <br />iccurding tu uur rc�unls. �cr �lu not h:tcr �in,il ;�p��rocal tiir lhc perntil�s) liste�l :ibucc. Scr <br />cnclusrd 1ns��cctiun Acli��ih' IZcport,. It is yuur respunsihilily to cnsurr that pcnnittcd ���ork i, <br />��ru�url� :irnl ,alcl� rumpklal. ;in�l th;rt all iryuirc�l inspccliuns ;irc perform�d. I'Irasc contact u� <br />�ciih inl��rmaii��n :'�huin thr sluiu: ul cuur ��r.�jce�, iu rryur;t ;in e.�t�nsum or tu ,ehr�lule <br />in�pccu�nis. <br />I I�c�r icr�,nl; ;ur ;n:iilablr t�i �uu;�irclicr hu� ri, ;in�l kudin� imlituti�m;..�n�l il is tu � utu <br />udc;mt;i�r tu �lucumrnl ��ru�:ress ur com��lrliun of ��uur �irujrcl. <br />l u snc�dulc in,pcctiun, rall uw' :wtumatrd ins��cc�iun linc :rt (-125 �'� i-SSR I, ur to disru„ ihc <br />st;uus uf � uw ��rujrrt. �ilr;isr c;ill uur f'rrmit I crhnici:ins :ll 1-�'_ i �� i7-�ti 10. <br />( in „f Ifcirrtt 1'rrniil Srrcirr, <br />Clll' �F GVERETT • 3200 Cedar Slreet • Eve�ett, WA 9f3201 • 14251 257-8800 • Fax (425) 257-8856 ' <br />