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SNGH��'�ISH HEAITH DIS7RICT <br /> Environmental Healfh Division <br /> Court Flouse <br /> Lverett� 4'�ashington �� <br /> G Dafe 7 <br /> Amount q�� '� <br /> Name � <br /> THIS RECEIP7 I T A1�4�UNT INDICATED IS HEREBY ACKI�IL�^LLDGL'D FCR: <br /> Applieation for Establishment �perating Perm�1 <br /> � Application f ewa�e�� ater Certification <br /> • <br /> Signature • <br /> � " C� �'� <br /> i i� � ��� �'t� <br /> lT�--� TT,✓,!�. <br /> �-'. �.� �_. <br />