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xt�"� <br />,o�z <br />7�3f~/1 <br />rx <br />; �� <br />�C C� <br />H� <br />.,. <br />'j H'+j <br />U1 H <br />� O� <br />�3 C7 <br />��g <br />S] � ;7 <br />ay� <br />r z <br />HH <br />� <br />H <br />n r� v� <br />��� <br />z y �n <br />H O f/� <br />�a... ae1 <br />,. i� <br />�.. "` a�' <br />� �s <br />I k <°'s' <br />I 'r <br />fheEc�CTYOF yi'ONSTRIDCTIO�I on <br />��J"F�Pe� �ERMI�' P�RiVlllf ��0. . ���U`� <br />'59-8810 <br />��� DENOLITION ❑ COMBINA710N ❑ BUILI!ING C�{MECHANICAL ❑ PLUMBING ❑ SIGN <br />� mcr. ncoaess ci zia or+e <br />��Everett Housiug .luthority 14th & Poplar Everett 258-9222 <br />;R:AK� <br />iAn!1A00RE55 Crtv Zi� PHONE <br />-- IAAII AJDAE55 C�TY ZIP PNONE <br />...._ „r„L080E51GNER <br />-- MAILPD�AE55 ❑iY ZIP PHONE LICEN`E° <br />-:;._y4LCONiRnCTOR <br />;orby, Inc. 1471 — 127t1i 11. NE Bell.. 98005 646-3471 CORBY2620S _ pryoNE--�,cemsc:: <br />. . . ..,y..:AL LONTRFCTUR <br />1.•AILAOORE55 CRY 21P <br />_�. _s o� vrom. <br />r� .�vw � i eoOITION <br />zn, .�c:e ucEn��e� <br />�p ALTERATION ❑ FEPAIR ❑ OEMOLITION ❑ BUILDING RELOCATION <br />I CONTALT PEPGDII 1N� PIIONE NO �F O�nm ��wn wo�rc <br />CONTRACT PRICE OF WORK' S I 3JO OO <br />i. n-i2E YIOAK ANO SOt1APE GOOTAGE iNVOLVED <br />Replace 2 gas furnaces <br />�t-.' <br />uv�1ii90 4:ii=`i L,J�G."_. . , <br />�-nc:�useo use ov euaoirvc 41000 %'S381 <br />:lulti family dwelling ,��,� ,,.�.,,,, <br />�c�,:,�eescnmrior+o�PnoaearrisHowee�owannrTneNvour+cea�es� I�OCQ�S?°� V <br />lpi_�OLOCN—�OF--. `'� yJJ• <br />X�OQ::S���.� <br />- .., . �• <br />�tD00^<5384 <br />_. __ i;G .rJJ. J <br />�n[t �.oar,6s <br />ii:J'.J l=5',°5 <br />PLUMBING <br />NO. TYPE OF FIXTUPE 051TEM <br />WATER CLOSET (TOILET� <br />bnrHruo <br />�AVATOFYIW�SM �ASIN) <br />. S40lYER <br />KITCHE �+ SINK d DISP. <br />DISHW:.SHER <br />LAUNDFYiR4V <br />CLOTHES WASHFR <br />URINRL <br />ORINNING FOUNiAIN <br />FLOOR ORAIN <br />BACKFLOW ��EVLNTEfiS <br />ROOF �fln:NS — RA W � EFOEFS <br />SINK �SERVICE— BAR. ETC � <br />SUBTOTAL S <br />-- PEPMIT S <br />TOTALFEE f <br />mrlMSFTlIPCN RLI�RS[TGAfK T <br />uSEZONe <br />lYR Of CaN51PUGIloN � <br />T OF pLDG <br />�::�1PANCT IOAD <br />: 'ON FOR SPRIN <br />.o* <n[n <br />rvIR 0f fAN51NUG1i0N IGN< <br />1!O Of SiOfiIES <br />(IRE SFRIrv8LER5 REO➢ <br />❑ YES O NO <br />qN5 �PPRO�ED UV <br />MECHANICAL <br />FEE N0. TYPE OF EOi <br />A'C — A: HNDLG UNIT$ — F <br />Z roRCEo aa svSrEMs — � <br />UN�T HEATE�S — 6 T U. <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATEFHEATER _ <br />\VOO� £TOVE <br />METAL FlREPLACE 8 GHIM <br />FIREPLFCEINSERT <br />HEAT PU�d' <br />GAS PIPING <br />E%HAUST FAN <br />sE1onCK ��'L�NCHECKNU1JJEfi <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />T-" <br />vn[mrt SrtF FEES <br />❑ YES O ��O <br />�w �' No Of I�aRlnqn'.n5 �UILDING S <br />PWA7�ING <br />(+45EM[NT <br />❑ YES O NO M[CHANIJAL <br />�mG�rtuMrtano�+ OTHER <br />`� STATE BUILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />CITY OP EVERETT pUOLIC WOFHS <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />PERMITS EXPIRE IF WOFlK IS NOT CO�:IMENCED WITHIN <br />180 DA�� OR CEASE& FOR MORE THAN 180 DAYS. <br />�:����, _ . !�' . <br />=v vr <br />rn en <br />THIC <br />FEE <br />�n <br />� <br />S <br />5 <br />RECEIPt h0 <br />55� 00 <br />PERMIT <br />2'�3���� <br />