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Datc: ,� � G' . ( / , / / 7`J <br />Namc:l iR� ��ei"Q�� �, cS��L(�� <br />Address: 3„2 ! YJve <br />City: �.x03 <br />PERMIT NUA�IB�R: 7.3'" � <br />llear Sir: <br />CRY OF <br />everett <br />CITT HALL � Y9Y�BB11 <br />cvcnnT. 1vAmuncron <br />aaxo� <br />ou��nrMu�r ov crvciHm�vm <br />A4D UTILITICi <br />1 our permit numUer �3' expires �/eC, 7 97 <br />Our records show that no worlc has been accomplished on <br />this permit to date. If you intend to complete the wor3c <br />outlined on your permit, an extension of time is required. <br />Please complete the form on the boCtom of this lettcr and <br />return it to the Lngineering DeparCmcnt, Gity I-Ia1L IC <br />we do not l�ear from you, the permiC will expire on the <br />above mentioned date. A ne�v permit will be required at <br />the future date you decide to do the woi9c. <br />Sinc ely, <br />�z�.�� '.�� <br />D nn iV1. 13i�elo�v <br />Lngineer Aide <br />�e5 �ouS� <br />�,�cE� P <br />I intend to complete the worlc ouClined on my permit and will <br />begin construction on or be(ore • <br />I will notify the Lngineering llepartment aC the time construction <br />bcgins. <br />i�;naturc <br />Distribution: � - I'ilc. <br />2 - r'icld <br />D�-1I3:ics <br />