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`::.::l:kv.av�::a:£.£::..:::.:::..:......_:k:k:<:::f::<}� <br /> .<:.<.ta ..:.:E...c<.<..::on»'.5:.:..<...:..._':<�..::<.; ... o.:...:..:....:.:<..:.:_:....»n_<.><:e..k.:.,:<:..,..t_;:ki :>.:.>:« <br /> ,.:vi.uwvcA>t> :n T7 N <br /> .. .. .> ... .. .. .....: ... � ::^ ° .__. :a': f:a. [ o: ��"1'>'1:." .E>(:.:i[ i:i:YTfjc(n. <br /> ��Mt��.�ITif)N....�'ER�...<.: �� ±G.� >..:....> � J <br /> Site Address: alp-) ,� 9 Date: -7743/b., <br /> Assessors Account No.: 3-)&S - Date —.Set - tatt7n <br /> Lot(s): =1 Block: Addition: Viet„ <br /> Owners Name: ()ASPla he} &r,L Contractors Name: Neat.\ awakit <br /> Address: DDD 1a Qv Address: 1SQ <br /> State: \a Zip: 4h i' State: WA Zip: 4'1't \ <br /> Phone: 3-D4oal 1 Contractors License: <br /> Phone: On-1101 <br /> Have Utilities Been Notified? Describe Work & Tools To Be Used. How Will <br /> Materials Be Disposed? 3b5 S4IL how.. A i�,,&UST- <br /> Water <br /> Dept.: Yes No S .- .(I t JA vr *a rc'hvwQ., StorKcu <br /> Electric: Yes No cdXs Sava -to e,tW cL1: 11 .ech <br /> LV kb Cable: Yes No ' T Coi;-� b \ 0C.IL,& . P); <br /> Gas: T° �lU,l Cd C cs C „N T' k. - <br /> Phone: Yes \ (2.i4.4. <br /> BARRICADES TO BE PROVIDED FOR PUBLIC PROTECTION,AREA MUST BE ROPED <br /> OFFttttitttttttt E SECTION 4409 U.B.C. <br /> 1► ►\ <br /> (Applicant's or Agent's Signature) <br /> ASBESTOS WARNING <br /> Breathing asbestos is hazardous to your health. Before starting a renovation or demolition project, survey for <br /> friable asbestos materials. Notify Northwest Air Pollution Authority prior to asbestos removal or containment. <br /> 201 Pioneer Bldg.,Mt. Vernon,,WA <br /> 98273. (360 428-1617 <br /> 7 <br /> Fire Department Approvals Date: <br /> �\ (( Jre Chiyf or Fire Mars ) / I <br /> Police Dept. Notification: i/pp„• '/,a 12_. Date: 7-/ 8 O2 <br /> Public Works Dept: Date: 7/g—a Z <br /> (Speed Garrett) Ci 1 Y Off. ANACOR a ?..,s <br /> Comments: <br /> P. 0. BOX 547 <br /> tip rt% <br /> e sa t t `t c;_, " <br />