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.ri � �i <br />H <br />7 H UI <br />H � x <br />H 1 M <br />O m O <br />K1 N �4 <br />fA M <br />� H � <br />t+J <br />°z n o <br />M t*1 O <br />H , G <br />x��C <br />H <br />� M y <br />O y H <br />n c y <br />s ro r <br />" yai <br />�j O fn <br />I ��t V� <br />.� �i <br />I� �r <br />� �A <br />I <br />` e <br />fhelir�.:�!ti�!OI �./O!lS�� IUC�IOr• .. <br />e�eY'ett F�EFiirlliT PeRnnisNo. _ ����,-, <br />259-8810 <br />❑ DEMOLITION � COMBINATION ❑ BUILDING CQ[MECHANICAL ❑ PLUMBING ❑ SIGN <br />innn nnuness cirr nn i���orm <br />�11'liverett Ilousing Au[hority 14th & Poplar Everett 98201 258-9222 <br />p.ANi <br />MAILAD�RE55 CITY ZIP P��ONE <br />nRbnl ECT OP OESIGNER <br />61AILADOf1E55 CITY 21P P��ONE <br />G[FEB4L COMRACTOF MAIL AD�RE55 <br />CITY IIN VIIUNt ULEf...i. <br />Id[CIIAN,CA� CONTRACTOF IdNLAD�R[55 CIiY ZIP GHONE ���<<��-- <br />Ccr6y, Inc. 1471 127th Place N.E. Bellevue 98005 646-3471 CORBY**26205 _ <br />V W �'0 NG CON: f1ACiOR <br />F'AILADD�F.55 CITY 21P PIIONE LICEI!`.E� <br />CUFd OF N'OAN <br />n uow f'1 ADOI710N Kl ALTERA710N ❑ REPAIR ❑ DEMOLITION C' BUILDING REIOCATION <br />I CONTPCT V'ER500 PNp F110NE NO.IF o�nu� �nr.� no��c <br />oeii�i�o �:i�rn 000:,tx-:�,-� , s ; ; <br />CONTRACTPRICEOFWORK'.� 13%O ---i— - <br />OESCPIpEKJflK RNO SOUAPE:OOTAGE INVOLVED �']�0,�5.}� 1 <br />�..�,..... � -Furnsee�-- -'�E6H C�� 88 <br />—�-�6�- M�Q�?5''•E= <br />PIiOPO E Y G {iOOOi'�S�B.j • <br />iccn� oescaianor� or rnoaenrr �si+ow oe�ovron nrrnc�� F�oun cories 1100�25'�84 • <br />LOT � OLOCK _�— Of � <br />ti00025'85 <br />�ouo�s-sE <br />�oo�mnness A000?5.>87 <br />PLUMBING <br />�NO. TYPE OF �=1%7URE OR I7EM <br />Y/ATE�� CLOSET ITOILET) <br />OA:HTUB <br />�AVATOPY (W�.:+H �ASIN) <br />SNDWER <br />KITGHEN SINN A OISP. <br />DISMWASHER <br />LAUNDFYTPAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN _ <br />FLOOR DilAIN <br />iv4E <br />ROOF �RAINS — RAINL� ADERS <br />SINK (SERVICE — BAR. ETC.) <br />SElOACN <br />SIZE OF OLOG <br />�'�' <br />� occuvnHcriono <br />r+ensor� von svnrtiniens <br />SU0T07AL <br />PEflM1T <br />TOTAL FEE <br />iEAR 5[TOACH <br />.OTAREn <br />fYR Of CONSINVCiiO4 ACIUAL <br />HO OF ST0411[5 <br />vise samrveiens neo 0 <br />❑ YES ❑ NO <br />nus avnnnvrt� oY� <br />f <br />s <br />MECHANICAL 4+ o-3E <br />FEE NO. 7YPE OF EO�I'�ENT <br />NC — A/HNOLG UNITS -- H �{���( <br />FORCEDAIRSYST@Id5—�T.U. M <br />UNITMEATERS—B.T.0 h� <br />GLOTHESDHYEflS <br />VENTILAT�ON FAN <br />RANGEHOOD <br />WATERHEATER <br />WOOD STOVE <br />h1ETAL HREPLACE 8 GHIMNFY <br />FIREPLACE INSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />penr�ir <br />TOTAI FEE <br />St�E SEI�ACK PLAN CH6CK NUMHtn rcc <br />vncnHrsrts pEES euuc <br />❑ VES ❑ NO -- <br />«��u�� rvooroxnuxcuwis BUILOING b <br />PLUM9ING <br />OnSEMENT <br />❑ YES p NO �AECHA4ICAL <br />��Eicr�ruurtn*�oN OTHER <br />STATE [iU1L01NG SUfiCHARGE <br />STATEEkERGYSURCHARGE <br />CITY OF EVERETT pU�LIC WORKS <br />LOC.4L SALES <br />TAX CODE IS TOTAL <br />���� WHEN PROPERLY VALIDA <br />PERMITS EXPIRE IF WORK IS NOT COMMEN(:ED WITHIN <br />'Qq DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />�--- - <br />A�DRESS FILE <br />FEE <br />5 � �{� C� <br />S 15 00 <br />S 55 0� <br />RFCEIPT �JO. <br />IS YOUR <br />2538� <br />