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PERMI�' ;���I,���ll��+�,`p �,r�qVOq <br />BUILDING / MECHANICAL / PLUM�I�IG /�iG�l / SPRIfVKLER / DEfIf10Lt710fV <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps(o�everettwa.pov I www.everettwa.aov/permits <br />ACKNOWLEDGEMENT. l have reviewed this application and confirm the information contained he�ein is true and correct. Worlc done perrsuant to this permit must comply with <br />current federal, sfate, and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must /irst be authorized in writing from the <br />Building Officia! before berng authorized under any circums�ance. 1 am the owner, or / am authorized by the owner of this property to perform the work for which application is made, <br />and ! comply wiih the State /Contractors Law 18.D RCW and 296.200A WAC. <br />� ,/% City of Everett Officral Use Only <br />,' / <br />�✓K./°� :!" ��'L�� T # r f� �`� � <br />. �1 � � =<..� <br />OwnerlAuthori ed Agent Signature � Date (Revised 5/2 /2016) <br />� � <br />