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� <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />��nn r.o�tar St Fvaratt WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org_ <br />I hereby cMify that i have reed and exemined Ihis applicetion c�id know Ihe sama to be Irue and corted. Atl piovieions ol lawa and ortlinances goveming this ype af vrorkwiA be complietl <br />wilh whet�er speGfieC �ereln or not. The prentin8 of � permil doee nol presumo lo gNe aWnwMy to violate a wncel Ne proviabn el eny olher slete a locel law repuleting consWqbn <br />The( I em euthorizeC by N owner of th��°�peh,y k peAorm the work tor whkh eppliwtbn is maCe entl I compry wil� Ne Slalo Conirxion Lew 18.27 RC W and 296.200A WAC. I/ <br />G�!��"j� ����/�z � <br />OwnerlAulhorized Agent Signeture Date IRevised 62012) <br />