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5022 27TH AVE W 2016-10-27
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5022 27TH AVE W 2016-10-27
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Last modified
1/13/2017 3:19:11 AM
Creation date
10/17/2016 11:31:33 AM
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Template:
Address Document
Street Name
27TH AVE W
Street Number
5022
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� C LCC�'G�D��I� p�G��O�' �I�G°'�,���`�Q��I <br />• CITY OF EVERETT PERMIT �VICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-88'10 � FAX 425-257-8857 j(E) everetteps@everetiwa.gov � www.everettwa.gov/permits <br />AGREEMF_NT.' T hereby ceriify that I have read and examined ihis application and know the same to be irue and correct. AlI provisions or /aws and ordinances goveming this <br />type of work will be completed whether specified herein or nof. The g�anting of a permit does not presume to give aufhorify to violate or cancel the provisions of any other state or <br />(ocallaw regulating const�uction orthe performance of construction. That 1 am aufhorized 6y the owner of fhis properfy to perform the work for w/�ich application is made and ! <br />cornply with the Stafe Confraciors Law 98.27 RCW and 296.200 WAC. <br />Agent Signafw•e <br />City of Everetf Official Use On/y <br />FEE <br />�� � � <br />PERMIT # <br />JY � � � � ��� �' �'� ��. <br />Date (Revised 10/12/2095) <br />
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