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City of Evercrt <br />Date <br />�'aas �nstallation Perrn�� <br />DEPARTA1CNT OF PUBLIC WORKS <br />Address ___-- <br />Qw11C'f_ �� <br />Installer <br />City nf Everett, by <br />Inspecrion Dirision <br />//..�i 1J h.��lt" . � �� �Y _-_--__ � <br />� C ' �: <br />_��aopqrnNT tiOTIC�— <br />All work must cenform to the provisions of the ordinances of the City of <br />Everett, Washington. It is the responsibility oF the Permit Holder to see that <br />City Inspettion Oivision is irotilicd and the insYaflation inspected before <br />covering. <br />Remarks and Cnrrections __ __ _ . _.____ _ __ <br />Inspection — Date_ __ inspector_ <br />Call Rack —Uate____ InspcUor ___ <br />Final — Date _ Insprctor_ <br />Thi; P�rmit must be pos�ed on 1ob before Starting Installation. <br />Permif <br />