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( <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8870 — FAX 425-257-8857 —www.everetlwa.org <br />....0 �n�r�nuc wee erecoicn FnnM R AM T04 PM <br />I hereby certiry Ihat I have reatl and exumined thia applicalion anA knax Iha same to be We and carect. All pmvislona of lawa and oMinanme poveminp <br />this rypa of vrork will 6e wmp�ied wilh whether specifeC herein o� noL 7Ta granl lnp ol a permil tices nat presume la 91ve authalty lo Wolate or wncN <br />the provlslon ol any olher state or local taw regulatinp wnsiructlon a Ihe pe�fortnance of conaWdlan. That I am autAaized 6y the owner of ihl� properry <br />to peAorm Ihe.wO�lc for which a plication is made and I comp wdh Ihe Slate Conlracton law 18.27 RCW anG 2BB.200 WAC <br />�/` /l��/' c�� ZDyL <br />Ow edAuthodzad Agent Signeture <br />� � Oale (ReHsed7/207p <br />