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b�� <br />< i, _i- <br />�L�C��11 G�aC��, p��l��`� � �'� �,a�Q`�a�� <br />CITY OF EVERETT PCRMIT V10ES <br />3200 GEDAR STREET, EVERETT, WA 98201 <br />(P) 425-2�7-8810 � FAX 425-257-8�57 j(E) everetteps@evereti�rva.gov j www,everettwa.gov/permits <br />AGREEMENT.� T hereby cedify that ! have read and examined this application and know the same to be frue and correct. AI! provisions of laws and ordrnances govem�ng tnis <br />type of work wi!l 6e completed whether specifred herein ornof The graniing of a pennit does not presume to give auihorify io violate or cance! the provisions of any other state or <br />/oca/!aw regulating constructfon orthe performance or"consta�ction. That! am authorized by the owner of this properfy to perform the v✓ork for which application is made and I <br />comply v✓ith the State Contractors Lav✓ 78.27 RCW and 296.200 WAC. <br />Owner!/�uttior�zert�enfi Signature <br />��� �,�� <br />Date <br />City of Everett O�cial Use Only <br />F�� <br />� (,�lj .� <br />PERMIT #fi <br />� I (��� -- - <br />(Revised 90/1�J'1095) <br />