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PUBL/L" fti9?K5 <br />ENGINEERING/PUBLIC SERV/CFS DEPARTMENT <br />CON'1'RAC'1'OR RI:GIS'TRA'1'ION I:�:E:�iP"1'ION <br />O�VNCIZ <br />PCRMIT # <br />� l-I f��/��1� r� % 1� <br />;C,SC�� �%2 <br />` i .� ����// <br />Everett <br />� <br />�I�I�i <br />2002 <br />YROJ�CT ADDRCSS cl�� � l3�°�1����Y ������''i i% lc7/� 4�S"�t 1 <br />Undcr thc Stalc RC W Section 1 S?7.090 "[scmptions", as o�� ncr of thc aboco- <br />refcrcnccd property, I�vill act as thc gcncral contractor fur thc �� urk undcr thc abo� o- <br />rcicrcnccd pcnnit and hcrcUy ackno�vlcdgc tlie followin��: <br />l. "Chc constructiou rclatcd lo thc abo��c-rcferenccd permit is not hcing donc �cith thc <br />prescnt intention of scliing thc improvcd property. <br />�. All �vork will Uc donc by thc lcg:d o�� ncr(s) of the �iropert��, or rc��ist�•red <br />contractors, or my fi�ll-timc cmployccs. <br />1 h:i��c rcad and ackno��•IcdLc thc abo��c iuform:ilinn. <br />( � C.�� <br />C-' � � �, 3 <br />�--? �1 /Jz � � `�J � 1 �, � O <br />O�vncr's Signaturc Dat� <br />Please Print Signatory <br />�-I �l�/✓ ,�,t r�� -s % �/ 4'; <br />CI I Y OF EVERETT • 3200 Cedar Sireet • EveretL WA 98201 •(.125) 257-8200 • Fax (425) 257-885G <br />