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k. �, <br />L <br />�.� �� '� r:: �!' . . '� <br />a % � <br />GI1`Y C}F= FVE�:ETT F'E�MIT S�F?VICES <br />32Q0 �EDlaR STREET, EVERETT, UVA 982t}1 <br />{P) 425-257-8�10 j FAX 4-25-25i-8857 �{E) ever�tt��as "�,a`�everettw�.cgc�v � wwv�r.ever�;�twa.gav/permits <br />AGP2EcMEiVT: 7� here8y ceriily tUat ! have rcatl ar7c! ex,��r7inecf ffais aE3plicatior� �nd know ti,c sair;e io ire iruG aish correcr. All provlslor�s vt ;av��s and rrillnances yevemrn�Y tiais <br />ty��e ot wcir!< wrtt be r..ornpletect whetrrr�r s/x c;fr<�ei 1�ere>rn or nat Tha� yrartYing q7 a ��ermlt does not pr�surne fa qive �.auttiority ip viotarF� cr �. G3,;r,e1 lhe provisk.�ns or �ar!y otrrs, �iaYo or <br />ioca( !aw rz�c7ulafin� r.:crosfrttcflon ar� tbe p�?rfonn�ne :� of ccrnsirut,'tro+�. Tttaf t nrr� rt,tttnrizcrd P7y thE c�uvriEr of thrs �,r;c�pc��r�fy tU fmr(orrn tii� wnrk for� wirich apapbk:�tion is rrraac� ,_ir;d ! <br />i orr+ply wilh !he State Cc�nfrar;;r.�r.s �aw 75.27 h�CVi� arxJ 296.200 WAC. <br />___/ _.___-„� <br />. ," '/ �\ ._-, <br />� i-�.. ..� '=�,� _ �.- f G, ` e. <br />� �. . <br />Own�rlAutf7c�rized Aqent 5iyna#ucc- � � Uat�� <br />Cify �f Everet€ OSicial 'Jse Unly <br />F � E �......�,...�._. <br />� L �0 �.� <br />d <br />PERMIT # <br />� Vv l �V �'� l <br />(Re,vised 1Q!12/2U15) <br />