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City of Everc:�t <br />Datc <br />�as Installataon Pe�s�at <br />DEPARTMENT OF PUBLIC WORKS <br />✓ <br />Inspection Division <br />Addres5 —_ L �' : , 7'- <br />�J �� . : <br />Owner __ .�/7�/� �� �- �� � ----- - <br />� <br />Installer `�� �� ---- <br />, ','', :�,,� /, <br />City of Fverett, by_ '' �_'�.• '.� - — --------_ <br />�' �J� �/3 �� F i�l T 4\ V I �^i 4L � <br />All wurk must conform ro!he provision; of the ordinances of the City of <br />tverett, Washington. It is the responsibility of the Permit Holder to see that <br />City Inspection Division is notified and thc installation inspected before <br />covering. <br />Remarks and Correcticns: —_._ _— <br />Inspection — Da!e_—__— Inspcctar ___ _ <br />Call Bacl< — Date _ Inspectnr ._.._ <br />Final —Date -� � `��-1 Zlnsprctnr�� L- _ <br />This Permit must be posted on Job before Starting Installation. <br />Pcrmit <br />