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Wa.gov/lni case sensitive City/State/ZIP Application ID Ap No. State ID FOR DEPARTMENT USE ONLY Fee Ledg Sht Check Amount Expiration date Date approved PLAN APPROVAL REQUEST FACTORY BUILT STRUCTURES Contact person s printed name Date Fee enclosed Phone No Signature New plan Master design 1 Yr design Renewal Addendum FAX No Initial MFG filing See appropriate WAC for fees AP No. Resubmittal Plans review by L I listed professional Note Identify add...
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