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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />.nn� �rwrnuc eoc ecCFa7Pt] FROM B AM TO 4 PM <br />I here6y certJy Ihal l have read end examinetl ihis app6cabon antl know lhe same lo be irue end correct. Atl provisions al lawa anC orAmances goveming t�is type ol work vnA �a complleC <br />wit� whether specdmC hemin or not The granling ol a pemmt tloes not presume lo give autnorHy Io violale or wnul t�e provisron of any ot�et state or local law reCula�inp consWdion <br />T�ai I am aNhori ed Ey�9wner of ihis property to pertorm t�e work IorxTic� app6wlion le maae an71 wmpty Nith f�e State Conlratlws Law 18.77 RCW an0 296 ZOOA `NAC <br />i / <br />��,--!"'' i .L-_— J) � / <br />. _ � . �� • l/ '.� �� �LiV / t� <br />Ownerl!(uthorize"d l�gent Signa�urt Dale (Revisetl 6/2072) <br />