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{�. <br />1� a <br />�`t �.�%�'`- _ _ _ <br />v�� ,_ , <br />���� ►���o��� p���� �- ��������� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EV�RETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 ](E) everetteps@everettwa.gov � www.everettwa.gou/permits <br />AGREEMENT.� T hereby ce�tify that I have read and examined this application and know the same to be frue and correct All provisions of /aws and ordinances goveming this <br />type of work will 6e completed whether specified herein ornot The granting of a permit does not p�esume to give aufhonfy to violate or cance/ the provisions of any otherstate or <br />local lav✓ regulating construciion or the performance of consfrr�cfion. That ! am aufhorized by the owner of this properfy to perform tl�e v✓ork for which app/ication is made and l <br />cornply with the State Confracto�s Law i8,27 RCW and 296.200 WAC. <br />J <br />�� � <br />. � <br />Owner/AutFiorized Agent Signature <br />2z /� <br />Date <br />City of Everett O�cial Use Only <br />FEE � <br />� �d6� � <br />PERMIT# <br />�� a�-- ��� <br />(Revised 10/12/2095) <br />