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ro.m�xsix <br />THE GITY OF SEATTLE <br />CITY ENGINEER DEPARTAIENT <br />��AQJTENANCE DIVISION <br />� <br />OWNER � � ���� CONTRACTOR <br />� �� JTftEET . . � <br />�� � � AVFNUG LOT No. � � � <br />�{OliSE No. � ' � <br />APPLICATIvN <br />fOH <br />��DF SF.Y/ER PBRMIT <br />OUTSIUE t�_I LtiSIDE ❑ RCPAIRS � <br />i — <br />� L � La � 1 <br />I Mi�^� <br />� � <br />� <br />;-_ _ <br />_ .. 1 <br />/ __ ____._ <br />BACI�FILL 1PORK OItDER ISSUGD <br />SGNER �� �� i� <br />NASIE ADC <br />� � . . .., 1�. ���' .-`_ <br />� <br />`,'`' <br />__,a. _ _ . <br />o.�e <br />DL'POSIT, S <br />r- <br />Approved: <br />DATE <br />' <br />CARD I�o.��� <br />EASEMENT No. � � <br />—�� <br />�_ PERMITNo.�� <br />_ 61-OCK No. <br />❑Y _ <br />CSS:. �$ <br />� n i.— ___ _ - 'I-- _ _... _ — <br />i ■ <br />