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C C' �9 <br />ttl y <br />7 H N <br />y � H <br />K f: <br />O C O <br />� M � <br />N N H <br />mz�t <br />� H O <br />O H <br />x � o <br />ti n o <br />n • n <br />Ly M � <br />t� y <br />2 <br />N y <br />Oy t+ <br />C C N <br />[.1 � tra <br />H O tn <br />I �� � <br />� � ��' <br />d�cEverKnrn �Oi�,i� ■ Q�'i/7eC�r.. <br />CITYOf' �Y\� I l [ C . <br />everE� � PERMlT PERMIT NO. � J') v� <br />259-8f3 i <br />[� M�CHANICAL ❑ PLUMBING <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING -_ Llr "+ :_ <br />I.IAR ALURE55 LiTV <br />nwr.tn <br />Gverett Housing Authoritv 14th 6 Ponlar Lvex�rr 9Rc� �Sa-Q��'�Z a E <br />ua�eoonas <br />iENAYT <br />pq6i1TECT OP DE9GNER <br />MAILAODNE55 Cltt ��� PMONE <br />MMLAOO�E55 CITY 21P '110NE <br />GENEIiµ CONTP�CiOR <br />hIMLA0G9E55 CITY ZIP f`IIJNE <br />NEG�/ NICFL CONiNAGTOP <br />Corby, Inc. 1471 127th Place N.W. Bellevue 98005 646T3471 CORRv**?6205 �,��o�,c <br />. __ __. ____ AIALL PDDfiC55 <br />C!A55GI UO�N <br />❑ NEW O ADDITION <br />TION <br />❑ SIGN <br />�ICENSE • <br />LICENSE � <br />� p�pp�p ❑ DEMOLITtON ❑ BUILDING RELOCATION <br />_ CONTHCT PERSON ANO P��OKE NO IF OTHER iNnN nLOVE <br />CONTRA TPRICEOFWORK S 13]O <br />oescnme wnaK u�o sounne sooince i�+voiveo <br />Replace 2 gas furnaces <br />ifulti-family Dwellin <br />PiIOVC`.EO USE OF BI11lCING <br />�n! ___ �IOCK - OF <br />on file <br />PLUMBING <br />NO. TYPE OF <br />WATER CLOSET (T <br />LAVATORY M1VASH BAI <br />SHOWER <br />KITCHEN SINK d �ISP <br />DISHN'ASHEfl _ <br />WUN�RY TRAY <br />CLOTHESWASMER <br />URINAL <br />�RINNING FOUNTFIN <br />FLOOF DRAIN <br />BACHFLOW PREVENT <br />ROOF �pAINS - RAII <br />CINN ICFPVI%F — PAI <br />''. � _ <br />�� � <br />FRO�iT SE10nCrc <br />�. USEZUNE <br />! '_1 . <br />iV(4 Of CCNSIPUCIION Pl la.V <br />S4E OFOLOG <br />I � ��. <br />OCCUPANCYLON� <br />F.CISON FOR SVRINeLEf <br />o-rrucnrioancr, nr <br />pa anTGH Foua <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />REAR SET9ACN <br />LOT AREA <br />ttfY OF LONStflllGl <br />ACNFI <br />NO.OF STOfilES <br />LIRE SPPRMIElIS flE0➢ <br />❑ YES ❑ NU <br />S <br />S <br />S <br />f�'� \f1�\�- n�� <br />a�7 � <br />;s��cH 355.00 <br />�';�— <br />HECH i55.OJ <br />..�.,,,��,�� -- <br />�� <br />HECN :55.00 <br />MECHANICAL <br />FEE NO. TYPE OF F.O � R �NT <br />A�C - A�MNDLG UNRS - <br />FORCEOAINSVSTEIdS-B 1 ';��T� <br />UNITHEATER$-BT.LL ,F h1 <br />GLOTHES �RYEFS W���l?{ <br />VENTILA710N FAN " <br />RANGEHO00 <br />1 <br />VlATER HEATER <br />WOODSTOVE prFc <br />METPL FlREPLACE 8 CHIMNEV <br />FIREPLACEINSERT _ <br />HEAT PUh1P _ <br />GAS PIPING <br />E%HAUSTFAN <br />[ SEiuncrc PLAN C1iECK NU�dBLF <br />SUB TOTAL <br />PEPMIT <br />-T-O-T�P�LFEE <br />I �EE <br />Vn�.FNTSOE FEE� "v`�" <br />❑ VES ❑ NO S <br />�u�'�>NoofoWEVixcuNas BUILOIN6 <br />PLUMDING <br />pASelAENT <br />❑ YES ❑ NO MECHANICAL <br />nEicni inniraTior� OTHEF <br />STATE Bl11LDING SURCHAFiGE <br />STATEENERGVSURCHARGE <br />CITY OF EVERETT pUBLIC WORKS <br />LOCALSALES — — <br />TAX CODE IS TOTAL <br />3105 wHeN PROPERLV VALIDATED TH <br />PERMITS EXPIRE IF WORK IS NOT CC,.;i+1FNCED 1hITHIN qD�RESS FILE <br />.,,n nnVS rv.i Cpn�rc, p(1R •+nn� r�...� �rtn nnvc <br />FEE <br />� <br />S <br />5 <br />RECEIPT NO <br />