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PERMIT APPI_ICATION <br />BUILDING/MEf �iANICALIPLUMBING/:�IG��/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIt SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — w�vw.everettwa.org <br />.....� �...t�.,uc wee 11!`CCOTFII FOfIM B AM TO 6 PM <br />I hereby cedily that I have read and exaniined Ihis , pplication and know Ihe same to 6o tma and correct. All provisions ol laws and ordinances go•ieminp <br />this type of wo�k will 6e complied wilh whether speciGed herein or noL The granting ol a permit does not presume Io give authority to violate or cancel <br />the provision ol any other stale or �ocal law regulating conslruc�ion or the pedomiance of consWction. That I am aulhodzed by the owner o1 this property <br />lo peAorm Ihe work lor which applicalion is mado and I comply with the Sfate Coniractors Law 18.27 RCW and 296200 WAC <br />l ' <br />x�,: , ; %; �_ � ;��.== l/� lG - // <br />Ownor/AuthoJaed Agont Signature Dala (Revised?/2071) <br />