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�� <br />f 4 , �"c : <br />�����1 �QC��� ����� l� � � p���Q�Q�� <br />�� <br />CITY �F EVERETT PERM]T .,�V10ES <br />3200 C�DAR STR�ET, EVER�TT, WA 98201 <br />(P) 425-257-881 � � FAX 425-257-8857 ](E) everetteps@evereffi�va.gov � www.everettwa.gov/permits <br />AGREEMENT.' T he�eby certify that I have read and examined this application and know the same io be true and correct. All provisions oflaws and ordinances goveming th�s <br />type of U✓ork wilf be completed whether specified herein ornot. The graniing o; a permit does nof presume to give authonfy to violate or cancel the provisions of any other state or <br />Iocallav✓ regulafing construction or the performance or consfruction. Thaf ! am authorized by the ov,�ner of this property to peiiorm fhe work forwhich applrcation is made and l <br />comply with the Sfate Conf�actors Law 1827 RCW and 296.200 WAC. <br />Owner/AutEiorized Agenf Signature Date <br />Cify of Everetf Official Use Only <br />FEF <br />� I ����� <br />PERMIT#f <br />� � � ��' -_ j�(� -__ <br />(Revised 10/9'1_/2095) L <br />