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Get Application And Certification Of Special Valuation On Improvements To Historic Property REV 64

26 RCW File With Assessor by October 1 Print This Form File No: I. Application County: Property Owner: Parcel No./Account No: Address: Legal Description: Property Address (Location): Describe Rehabilitation: Property is on: (check appropriate box) Building Permit No: National Historic Register Date: Local Register of Historic Places Jurisdiction: County/City Rehabilitation Started: Date Completed: Actual Cost of Rehabilitation: Affirmation As owner(s) of the improvements described.

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