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y n H <br />c r[� x <br />� 7 H <br />�o x <br />� H[�. t~i� <br />H �a � <br />H 2 ti <br />K f1 <br />H � <br />�q M K1 <br />N M <br />y 2p � <br />� H l7 <br />°z n o <br />M R7 U <br />M , C <br />7 H � <br />F` H y <br />O y N <br />nov+ <br />� � � <br />2 H fn <br />H O v1 <br />� ���� <br />!� ��1 <br />in��;�:���,,�i�i Ct N��V'�� 1�������o <br />���`rPil,�, !��!RMIT PERMI7 C;G. <br />259-8810 <br />Ci DEMOUTION ❑ COMBINATION ❑ BUILOING Q�MECHANICAL C PLUMBING ❑ SIGN <br />•r:r+[n v.ai�nooaEss crv zo• v��onE <br />Hverett Housing Authority 14th & Poplar Gveret_ 98201 258-9222 <br />��ryqry� A^AIVdJC�E;S CIiY ZIV PNOhE <br />O� 0[S�GNER Mr11t ADORE55 LITY ZIF G110NL <br />GENEPALCOMRACTOR IANLAOORE6'S CITT ZIP PMONE L�CENSE✓ <br />VECM�NICALC�NiPACTOR IAAILAGDRE55 CIIY ZIP Fl10NE UCtNSE= <br />Curby, Inc. 1471 127th Place N.E. Bellevue 980D5 646-3471 CORBY>�'�26205 <br />�.��.�•.�..;Nccor�rnn�„ran av.i�nooaEss a.v 2m v��oH=. uCer-.� <br />.. �.:SCFVIORK <br />�l NEW ❑ ADDITION <br />CONTRACT PRICE OF WORK: j 13]Q <br />� ALTERATION � FEPAIR ❑ DEMOUTION ❑ BUILDING RELOCATION <br />CONiACT PERSON AND P��ONE NO. IF OiHER THRN AOOVG <br />Q�����9� ;.]III'� C[.n�l'tl':^'.�. . .. <br />ro.cn�3e wonrc nr�o sounne t'ae*nGe iHve�veo <br />HC�702539: <br />u,.i�.,�r,, o,. _y ti„S, �rc m <br />__ _ .:Pf1AC29 <br />- " nouo�sa2 <br />rnOF��- we F i c . •� <br />nI��OGJ�G�. <br />i'EEi I -- <br />L EG;.L C[SCIUYiI/'�'1 ^F PROPCRTY (5� 10\'I BELOW Cq ATiFCM FOUR C0�'IES) <br />f'A0�25'.g• <br />�cr _ oiocrc — or I�eEI I �^" <br />ti00D2:,'85 <br />—c3t2--�l�e-_— �ih--�aa.-�v�✓- <br />;0�025.:Bu� <br />—�d5 2B <br />�ooaou�ess <br />;;Gi,2"5'87 <br />725-27 Linden <br />PLUMBING <br />NO. TYPE OF <br />WATER CLOSET �TI <br />LAVATORY <br />KITCHEN SINK 8 DISP. <br />�ISMWASHEH <br />LAUNDliY TRAY <br />CLOTHES WASMER <br />URINAL <br />ORINKING FOUNTAIN <br />F�OOR ORAIN <br />BFCKFLOW Pi7EVENTEFS <br />flOOF ORAINS - RAINLEADERS <br />SINK �SERVICE - DAR, ETC.) <br />� SUBTOTAL <br />PEHMIT <br />TOTAL FEE <br />fRONiS[if3ACN �[ARS[10ACG <br />115E20NE LOTAREA <br />IYIi Of C�IIi1NOC110N RILaLY4plE ttGf Of CONSiNOCIl011nCiW <br />S�ZF O� OICG NO OFSTORIES <br />OCCLPhNCYLOPO FlPESPRINRlERSREOD <br />❑ YES ❑ NO <br />flf nE,C�! f Oq LPItINq Cl15 <br />:•�����C��tiO�:,�Cc!�� �inNSAVPROVED�Y <br />MECHANICAL ;,,-;� <br />FEE NO. TVPE OF EOUIpI <br />A/C - F� HNDLG UNIT$ - H;R{� <br />FO�CEO AIF SYSTEMS - B T U <br />UNIT HEATEAS - B T U. <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATERMEATER <br />WOOOSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FlPEPLACEINSLRT <br />H9AT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />� <br />S <br />f <br />SIDL SET6AC4 <br />VPC:.NL SGE <br />C YES ❑ NO <br />aw�u.r N�OF�N'EIUAG <br />0/.SEMENi <br />❑ YES O NO <br />MEIGNT LIAf IT�TiON <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />PERMITS LXI"'��_: IF WORI; IS NOT COMMENCED WITHIN <br />18� DA`!; OR CEASES fOR MORE THAN 180 DAYS. <br />_ — -- <br />PLAN CHECK NUh1BER <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />fEE <br />�UILDING $ <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUIL DING SURCHAF �E <br />STATEENERGVSURCHARC� <br />PUBLIC WORKS <br />TOTAL <br />WHEN PROPERLY VALI <br />i��,�;i,lliis;:. f �l ��c <br />M EA <br />M <br />FEE <br />f <br />RECEIPT NO <br />15 <br />IS YOUR PCRMIT <br />('J,iU� <br />