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� <br /> I <br />� <br />� <br /> , ' . . . . ,.,� . . <br />� <br /> � <br /> ,' <br /> Date• /�_ -��- ��`� <br /> � <br /> QTY OF <br /> Name:�\ ,,. �.���� �,. ����5 � everett <br /> :ddress: �-� =_ :�,;' '�-`�_ `_'� `�2i nrr pett . ae�.aeii <br /> CVC11[TT. WG6NINGTON � <br /> ` c000i <br /> Cilty7 � - �'R N�� T–� Cl�• �.�� r..c�rvci.r,:r.<, rcrr <br /> —�T= <br /> PEP.MIT NUMBER: �`( > �> ( '� ;'_,• e, ,aQ �����c-` `��� <br /> Dear Sir: <br /> ?� ', e;.�ired c-, ��, _ �� <br /> Your permif. nuenberl.(__ 3 __�_• <br /> Our records s'�ow :'�at no worY h:�:: licer� 3ccomnlished on this <br /> Pcrmit to date. If }ou intend to :;cr.:pl�te thc �aork outlineci on <br /> cour permit, an e,ter.�ior, oC time i3 required. <br /> Please complete .F.: :or:1 cn t^r. ��;tcem of this Jet.ter and <br /> rcturn it to t;ie Et��ineerin� Degartment, Cit� T_-iall. If we <br /> dc t:ot hca.r from ,ou, the permit �.-ill e1-pire on the aUove <br /> naen:icned date. r'_ nen� permit �e;�l be requi.-�d at the future <br /> date you decide to do the work. <br /> Sinccrely, � _ ' <br /> �g�.. ' ��,c��. <br /> ,U � �>�s�'��. <br /> Ron Moir � <br /> Public Service / � <br /> , �l�' �19 CS�l� ��J�� � �,� �� <br /> I intend to complete thc wnrk on:lined on my permit and will <br /> begin construction on ox' hefore <br /> I �cill riotiiy ihe �nri:ie•�ri�;� ��e��.rtment at the time eonstructi�n <br /> begine. ' <br /> Signature <br /> Distribution: 1 - File <br /> 2 - Field <br /> DMB;is <br /> 1 <br /> - - , _ J <br />