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u <br />CITY 0:' -- <br />BUILDING Pl;,, <br />DATE Oct, 12.. 1;''04 <br />ADDRESS OF COX.','P ;tiCT1C[. <br />LEGAL DESCRIP2.:C„ i.011, Pr.... - <br />UNPLATyTED DIESC.i .:!PTIOi'. J---------..--- �- -- --- <br />- -J - --- --- u<TI UILDIWG DESCIYPIOi?: idiiii _,_; i.DD:i':ltr•.laoDr•.r, <br />.'TG:i —_ OR RtL'i�ii2 <br />OF UNITS occr;>I,NcY o; -,L T1e ^••,+yam, ... <br />IS THIS A CIWYrl" Or' 131UILDI1IG OC' C <br />:.i;':": YLS Id0-----____-- <br />CONTRACTOR Eillis Eome;t <br />-- <br />MAILING <br />ri�IT,'f I:G <br />ADDRESS <br />Everett. Washs�i'r!1 <br />-- <br />PHONE NUI•IDLR G5-lillq — ,^^ <br />P11O;:1:: P:U'•; L;R <br />CONTRACTOR'S LIC1:115L' XlS;ai::; ?J__'7 <br />r, 95 <br />SIGNATURP.- <br />NOTE: T;IS hl'"; LC.::i <br />L i,bO'Ji; !'i rS CO3MIPLETIELY Ih'CLUDI' , <br />TIM P10'1` PLAT £.:-,.CI. <br />FOR ALL ,r! 1pOi,:,',"11O?! idI:* (.IT 1:: i,;I,... <br />L..._') D:: .'i:,, <br />IN TIIF. <br />SUALT Pi <br />INSPECTION DIVISIOX rJii :,, : 1.U:,,':. J <br />:.:J.:i; J I I ..i:1:DIi: Y:ai:, "Ill: CONSTRUCTIO.; <br />WORK. <br />APPROVAL: <br />!' <br />/v- <br />�1' <br />"1. <br />DA'rl? /��✓J�—��E_- <br />PL/elel;rlvG�%�.�1�.,���j'��,Q�{� <br />-_ <br />2. 1,NG1NB15}t7:. '. <br />PUBLIC <br />... .. <br />NO'1'I:. I,I,L Ci <br />ON DII.; tWI 11G ; <br />