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b <br />E ,c ; <br />�[����fG�.d��L G���[3[�I�`l� � ��'�a�1��a��l <br />C1TY OF k.VERETT rERMIT .��rZVICES <br />3200 G�DAR STREET, EV�RETT, WA 98201 <br />(P) 425�257-8810 � FAX 425-257-8857 ](E) eueretfieps@everetfv,ra.gov � www.everettwa.gov/permits <br />fype of work wi11 be completed whether specified herein o�not. The granting of a permit does nof presume to give authoriiy to violate or cance! the provisions of any other state or <br />locallaw regulating consfrucfion orthe performance of consfrvction. That l am authori-red by ihe owner of this property io perr"orm fhe vvork for which appGcation is made and I <br />comply wifh the State Confractors LaN✓ 98.27 RCW and 296.200 WAC. <br />OwnerlAufliorized Agent 5ignatare <br />Dafe <br />City of Evereft Official Use Only <br />FEE <br />� �� ��� <br />PERMIT # <br />� o �-ao� <br />� (� � <br />(Revised 90/12/2015) <br />