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PERMIT <br /> 1 Le <br /> BUILDING I MECHANICAL I PLUMBING I SIGN I SPRINKLER./DEADLITJDN <br /> EVERETT OW OF <br /> lle <br /> 320Q CEDAR.STREET„EVERETT„WA.982111. <br /> VVAsenuhu TOru ((ifl)4125-X71-ffill® II FMK 4115-250-Siu7/ V(ra)symiettogagesenegtosaaowII wowitimenzatualiarolownitt <br /> pima or Mack Jak Daly Rloassa) i PROJECT SITE I NFORMATIOH <br /> PROJECrSITE ADD + ;t;5 tiDq+ tb.2_ PROPERTY'TiXIM: `1:`1r' (),r`0/7DO <br /> LEGALfimaROM ammedrnaatimmr. SMmntRtaliadndivisimm Lath Nail. (pttaateiaim mfilmncg!evil obtsad{ptimn)i ' <br /> CONTACT IIIIFINIMUITION <br /> OWNER NN&AN IE: TEISI 01Ntii" IN iIMAI E( ff14): <br /> OWNER MAlLJNG ADDRESS: seateme <br /> mmW <br /> OWNER PHONE: TOWNER EMAIL: <br /> cOiiIRAC1it iaMAMIE: <br /> CONTRACTOR ADDRESS: STREET <br /> ®mw SnWYEE ZliP <br /> CONTRACTOR P.HOiNIEE: LCONTRACTOR EMAIL: <br /> int ::n,): CfYWFIB1tI3iutun i'USINESSILICElFSiF g1834: <br /> Y CGIIL1 ACT: Di O Di ct:.ID ilT1R9,cipo c 101011 H (fillfiA <br /> ti7DNfTACT NAME (ii:DI ITAlCT IMINI IE: <br /> ' IH 61111TACTEM IIL: <br /> }atBUILDING INFORMATION <br /> 'Wins Use cif®Rill las: Canthault Alike aft itanitc:$ <br /> Proposed Use of Budding: !Heat Source: OGas ®Electric ®Other <br /> St1111l$HIIICvUSE: 1133FIR ®ireanimmus Ertawalkez CAM lultii-fFarnftr-*tiliv: (l.aumenaiiall ElitazueuziaryShamble <br /> Type off v III,,,,,,,, DLL It,:'.,� Use <br /> DESCRIPTION OF WORK <br /> A -ek x( ie_+c ( ' X l 11 O --oDi <br /> ASSOCIATED BUILDING PERMIT*(IT <br /> r 4111PIPLaceennem suanan r_____ ariptacimoes <br /> Finny List of tures List of ' <br /> FuList of Thames cry l LstofFixtures <br /> Count Count CountAC—Air f mitlirgiWilts GmIPiOThil Ica::,, ',, IFRI dter(fteal r,tig) 1fu14,MTealltbmo <br /> ,•o'liar Q Ran Irnlathesktil�fiegr- rnlfi- eeeRiiall(t tl I4fflmoti)) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher 1 Sink-Residential(kitchen,bath,bar) <br /> Dirt System(Romodet) Rettikweafthum Drinking Fountain Stink-til ilily tem,morkp <br /> Fates( sideutlialq) Dmremeutikil\ ittl tt I'-Warr Ditalim 1Peile <br /> lifted'((R 11) (plat Hlleatl(9P(Cs re>)) 1 :.lith➢ Miran <br /> � <br /> lattuuretliftoff((irq 4) U llto resit er UWllmetelAOp�harFFIMingfl it <br /> IA»alhraualt Htltzell((lassiidlentI ll ;Nandi Slime I idtturegdeaSamtfirAll %WaderSoreine(fireediiirtdd m )) <br /> Forced Air.Systems Other... edical.Gas `Water Valves or.Fixtures <br /> Fittpillmar.Iltllmzg I ",,, emirs Atletterlifie#mr <br /> SPIRINIGE'R I SUPIPINESINCIN SYST _ , Ejector isr Sarno Pump Cieter: <br /> pi.di ®n ire 'Atm.mrf Hawk <br /> �rpgl°r ®nS rm .rdinihnouE <br /> A :!have reviewed this application and confirm the information ccntai7ed herein is true and correct Work done pursuant to this peril`must comply wrih <br /> current federal,state,and local law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Rbebrebob gamfirerlmed ortrikar an goissoustarambe.fimonths e mnmr„esti a s ;,> sortermif56ils gmagodytkrarporibsontilsolocriktiortrisidbapwihra6romitsmm , <br /> aorti11mono*widhOs Sligo pilaw11dSP7/PROWarrdt REPA krbtAZ. <br /> Clti,yaff itGlWrri iUliima:NW <br /> Oititiej e... (2ft of_ <br /> PERMIT* <br /> - Ig 11 \ 0" 061 <br /> o <br /> Owner/Authorized Agent Signature Dateevised 10111 <br /> (R18) <br />