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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />.,.,,,,, �..,,... �. �.,e�orr \I11A QR7M a�5-257-8810 FAX 425-257-8857 www.everettwa.org <br />I hereby cetldy that I have read �nd examined Ihis applicetion and know tha same to 6e true entl mrmd. All prorsions ol lawe antl orEinances 8ovemin9 thi� tyDe ol xark will be mmplietl <br />wnh wheNer specitieE herein or not. T�e granling ol a permit tloes not presuma lo giva nuthonty to vicla�e or cancel t�e provivon o/ any other state or bcal law re9ule6ng construclion <br />T�at I om auihonmE by Ihe owner ol l�is pwperty to pedonn the work brwhkh application is matla and t compy wilh ihe Stale Contractors Lew 18 27 RCW anC P96200A WAC. <br />/ �� <br />�-- � ;1, ( 5 <br />; ,. <br />Ownor`AUIhoAzad Agant Stgnatum <br />Date (Revised 32073) <br />