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REP28549
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REP28549
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Entry Properties
Last modified
8/24/2016 11:59:10 PM
Creation date
11/27/2007 5:06:30 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1979010
IBM Index Class Name
Report
Doc Date
3/4/1991
Doc Name
112 ANNUAL FEE PN 010 AVERY CONSTRUCTION PIT ANNUAL REPORT
From
ASI GENERAL CONTRACTORS & ENGINEERS
To
MLRD
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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<br /> <br />SENDER: Complete items 1 end 2 when additional services are desired, and complete items <br />3 and 4. <br />Put your edtlfes-s in the "RETURN TO" S$pace on ,U~e reverse side. Failure to do this will prevent this card <br />~ <br />Lei t fee Evil) rovide du the ham cf the arson deliveretl to and <br />from being retuned to you. The return re <br />t'e date of deliver ,~~For ad ,noha ees t ~ olow,ng servrces are ava,a e. onsu.t postmaster or ees <br />an c c ox es or additional service(s) requested. <br />1. Show to whom d~iXergd~, dale. and addressee's address. 2. a flestricted Delivery <br />(ET cMrgeJ (Erma chargt) <br />3. Article Addressed to: 4. Art er <br />- - ~~ sa a <br />, <br />~~[-~ . Type ot~-Service: <br />{T!~7 :.~.. ^ Registeretl• ^ Insured <br />Safecn Insurance Co. <br />~Cenilied ^ COD <br />Safecn Plaza ^Express Meil ^Return Receippt <br />_ <br />~ for Merchantl,se <br />i <br />$eatt]. P_, WA 98185 ~ <br /> Always obtain si nature of gddre9sae <br />' or agent e E RED. <br />5. Signature -Addressee 6. Ad ><s ~ s "A NLY if <br />X re ande{r~a ~ <br /> C~~•f A <br />6. Sign ~ e - Age t ~ v y <br />~ <br />7r [Y; <br />!~ <br />~ <br />. at of Dellvery ,,j1S <br />~r <br />PS Form 3811, Apr. 1989 +t1.5.[i.P.O. 1999-334!15 DOMESTIC RETURN RECEIPT <br />ryE-z4-O(o fbA~ ~xwm-4/-O(( <br />P 427 452 660 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANLE LDVERAGE PROVIDED <br />NOT FOP INTERNATIDNAL MAIL <br />(See Reverse) <br />o~ ~~ Safecn Insurance Co. <br />o Safecn Plaza <br />Seattle, WA 98185 <br />N <br />c Postage 5 <br /> <br />1 <br />W <br />w <br />[~ <br />n~i <br />7 <br />/y{-~4- O/O 8DL A90J hl-9/-O/( <br />P 427 452 659 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSUPANLE COVENAGE PROVIDED <br />NDi FOP INTERNATIONAL MAIL .1 <br />!See Reversal W <br />Mr•. Ronald W. Southard W <br />Avery Structures, Inc. (p <br />28221 Co RE.i 3 ].9 ~ <br />m <br />Box ].910 ~ <br />Buena Vista, CO 81~C11 ~ <br />CertiNed Fee <br />SDecial Delivery Fee <br />Restrictetl Delwery Fee <br />Ralurn Receipt snowing / <br />to whom and Date Delivered / <br />N <br />m Return Receipt showing to whom. <br />Date, an Delivery <br />C <br />~ TO 5 q~ <br />~ or D~ !Rf <br />E ~ <br />0 <br />LL <br />N /1A/ <br />L__~'"~ <br />3 <br />N <br />i <br />n <br />Q <br />O <br />w <br />a <br />d <br />c <br />8 <br />a <br />Postage S <br />Cenilietl Fee <br />Specidl Delwery Fee <br />Restnned Delwery Fee <br />Return Receipt snowing <br />10 whom and Dale DElweretl <br />Return Receipt show,g to wham. <br />Date, and Address of Delwery <br />TOTAL P s Y7 <br />~ <br /> ~ <br />P r~rk or Dale <br />y <br />~ ~ ~ <br />G <br />~ <br />~ <br />R1 <br />. <br />~ <br />. <br />r` <br />h <br />N <br />i <br />(~ <br />3 <br />~I <br />a' <br />O <br />~. <br />
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