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r <br />City of Everetf <br />Date_ � '� <br />�as Ins4a1lation Pea�s�+o� <br />DEPARTMENT OF PUBLIC WORKS Inspection Division <br />Address ----------- ----- —� ------ <br />Owner_ - �"'��.h'e -- <br />- �� <br />Installer�.: .. ��-�C^-',, , ,--� � t� -- <br />, .i , <br />City of Everett, by_ _-- _ <br />—lMnp;Z"l;t:T `;OTICc-- <br />AIl work must conform io the provisions of ihe ordinances of the City ot <br />Everett, Washington. It is the responsibility of the Permit Holder to see that <br />City Inspection Division is notified and the installation inspected before <br />covering. <br />Remarks and Corrections: <br />Inspection —Date c% �? �3 Inspector_ '�_ <br />Call Dack — Date- _ Inspector __ __ <br />Final -- Date. — Inspecior <br />This Perrnit must be posted on lob before Starting Installation. <br />Pcrmit <br />