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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORM ION
AGENT OF
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CITY AND STATE LAWS REGULATING CONSTRUC
THE OW ER 'A'REET.C..PLYW'TH
TION; A2 C IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON VJILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18,27, -
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VALUATION FEE
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CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK-OW�Ell- OLD�ASSESSORA
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