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10 .S C <br />b H U1 <br />M �y �j' <br />yzr� <br />O S O <br />'ii M �V <br />{JI M <br />� H O <br />o � o <br />c� • n <br />H <br />t^ y Z <br />H H <br />O V1 <br />n l7 N <br />C C <br />� � tr9 <br />H O N <br />�� ! <br />,,,.,_�.,:,,�,� C'7�,STRU�TlC)E�l _ <br />��, � ��� <br />eV����l�� PERMIT PERNITNO. _ �JJf�G <br />259-881� <br />❑ DEMOLITION O COMBINATION ❑ BUILDING iJ MECHANICAL z ❑ PLUMBING� E ❑ SIGN <br />� )r:•�En r.�a�� noonEss c�rr <br />werett [lousing �uth. 14th & Poplar EV 98201 258-9222 zF F o+E <br />M11111LADDA[55 ���T <br />1ENANL <br />MRIL NOOflE55 CITY <br />ZiM PHONE <br />:riCHITELT OH �ESIGNEfi <br />C'Ty Z�p ��.JNE LICENSE � <br />GENERAL CONTBNGTON F�AIL q�OPE55 <br />MAILAJDRE55 ❑iY Z�'� <br />MCCIIANICAL CONTRAGIOR <br />Corby, INc. 1971 - 127th P1. NE HTiIS,• 4�+ 98005 646-3471 COR9Y262G:_ <br />Ma� nooness �'T� <br />PW1A�'NG CONTRALTOR <br />c�ass ov wonrc <br />❑ NEW <br />PY.ONE LiCENSF. � <br />�r��or�E ucnrte • <br />❑ ADDITION C�{ALTERATION ❑ REPAIF ❑ DEMOLITION ❑ BUILUING RELOCATION <br />CONTACT FERSON ANO PMONE 1i0 li OI nm ��•��+^�� <br />CONTRACT PflICE OF WOHK' S 1 3%O � Trrlm F� t�� ��"�� <br />acii�i <br />DESGiiIBE YlORM RND SOUARE FOOTAGE INVOLVED / <br />I�place 2 as furnace -- <br />BECH `-65.00 <br />I GJJ J <br />riao�oseouseoFouao�uc HECH �55.00 <br />rlulti family � ., <br />L[GALOESCPIPtIONOFPROPERTYISMOWO[LCkORATTACHFOURCDF1E51 MEL``� yJJ�OO <br />�o*— o�or.K — oF ' ' <br />NECH 355.00 _- <br />�ao�s: Ee <br />HECH g55.00 <br />:oununr�r.ss <br />/jO � 10 LL1� <br />PLUMBING <br />NO. TYPE OF <br />WATER CWSET (Ti <br />KITGHEN <br />LAUNDRYTFAY <br />FLOOR �R�IN <br />BACKFLOW FREVENTERS <br />flOOF ORAINS — RAINLEi <br />SINK ISERVICE — BAR. El <br />I15E <br />APPLIGVIOtIACG ii! <br />MECHANICAL ""'"'"-`� <br />OFi ITcM Fi.E NO. 7YPE OF EO , 1�{T_, <br />A/C - NHNOLG UNITS - H���I I <br />7 POHCE� PIR SYSiEMS - 0 T�N�f� <br />UNITHEATERS-BT.U. M <br />— CLOTHESDRVERS <br />� — VENTILATION FAN <br />RANGEHOOD <br />WATERHGATER <br />W OOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />— FIREPLAGEINSERT <br />HEATP�MP <br />GAS PIPING <br />__ E%MAUSTFAN <br />SUBTOTAI S <br />PEPMIT S <br />TOTALFEE f <br />REARSETOACN <br />LOt Af1EA � <br />C <br />iYPE Of CONSiflUCIION AC1UFl <br />NO OG STOIUES � <br />r <br />FlPE SPPINK�Ei15 REO�U <br />❑ YES ❑ NO <br />CRNT 51i[ <br />YES ❑ ND <br />T <br />VES ❑ NO <br />��EIGHT L�MiTqT10N <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />?105 <br />PERMITS EXPIRE IF WORK IS NOT COlu1MENf:ED WITHIN <br />'IFlO DAYS OR CEASES FOR MORE THAN 1fl0 DAYS. <br />SUBTOTAL <br />PEPMIT <br />TOTALfEE <br />CH[GK NUA1pEF <br />�UILDING 5 <br />PLUh101NG <br />IdECHANICAL <br />OTHER <br />STATE BUILDI�'G SURCHARGE <br />STt.TE ENEFiGV &URCHARGE <br />PUOLIC WORK$ <br />TOTAL <br />WHEN PROPERLY VAL <br />nnonFssrue <br />FEE <br />f <br />� <br />RECEIPT NO <br />R <br />2536� <br />551 00 <br />55100 <br />