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C t' "J <br />iV <br />p O <br />� H N <br />�g� <br />yzti <br />.e n <br />H ;U <br />� y � <br />H [[x--�� <br />trv O o <br />� n c <br />i-�i � C <br />zy�i <br />� ir y <br />O N H <br />(] C N <br />� � b7 <br />2' H N <br />H O N <br />� v s <br />��6,,.1 <br />� V'-1 ' <br />������GT� O� JVIYS I IIUC��4/1'� <br />���e�ett PERMIT PERMI3 F��. - <br />259-8810 <br />: � OEMOLITION ❑ COMBINATION ❑ BUILDING [3;MECHANICAL ❑ PWMBING ❑ SIGN <br />-,,,,� nui�r.00r+[ss cnv .m r�a�e <br />Everett liousing �luthority 14th & Poplar Everett 98201 258-9200 _ <br />..'.rai 1.1/all ApUfiES$ CITV IIP PMONE <br />�� �-rtEGtOR0E51GNE� ldPILA0��E55 LiTY 21P PnONE <br />._:[q4LCONTR4CiOR IdntLA00flE55 CITv l��' PNONE LiCL'.��. <br />:CIIANICaLGONiFACTOR MAILAODRE55 CITY ZIP i'110YE LICR:�-:. <br />Corby, Inc. 1471 127th Place N.E. Bellevue 98005 646-3471 CORIIY�'ti 26%!� <br />..u'.�.NfJGCONTR�GTOfl 1.�41LNOORE55 GiV ZIV i'IC':E LICH��: <br />�_:.350:1'IORK <br />�.; NEW � ADDITION OyALTERATION ❑ REPAIR ❑ DEMOLI710N ❑ BUILOING RELOCATION <br />coH*aet rrnsou nNo �=��ome rvu it on+e�+ i nnn nr�.= <br />CONTRACT PRICE OF WORKt S 2](yO I <br />"-:AIUEVIO�lKAN�SOUAREI'�..TAG2VVOLV[D Pi/if/iJ .��-ii�_��.._.� <br />Replac� 4 gas furnaccs � <br />4� _JJ . <br />riulti family dwelling i•�_Cli "SS.OD <br />��,� ; n::eo use or euuoiHc h Ul- ,• <br />"LCH 'i-65.00 <br />�.rGn�pESCPiPTiONOFPPOPEFTV�SNOWBELOV/ORATTaG���JURCOPiE51 � `��' <br />ii��f� i.`•J.i.',�� <br />LOT— BLOCK — OF <br />on file <br />.�ounoo��ss <br />801-03-OS-07 Linden <br />°1�M81NG <br />N0. TYPE OF FIXTURE OR <br />WATER ClOSE�i (TOILET) <br />BATHTUd <br />LAVATO�YIWASH BASIN) <br />SHOWEF <br />NIiCMEN SINN 8 DiSP- <br />LAUNORYTRAY <br />CLO�NESWASHER <br />11PINAL <br />DRINKWG FOUNTAIN <br />FLOOR �fiNN <br />BACNFLOW PREVENTERS <br />ROOF DRAINS - RAINLEADERS <br />SNN (SERNCE- �AR, ETCJ <br />USEZONE <br />tr� oFcaxsinucuor+ <br />SIZ[ OF BI.DG <br />'�!CCUPPNGYLO/.D <br />��..;.iON FOR SFRIt. <br />NECN :55.00 <br />IiECH `6�.i'0 <br />. OU�...�74 <br />MECHANICAL <br />FEE NO. TYI�E OF EOU�P� <br />NC—AMNOLGVNIT$—H ,. <br />Z FORCEDAIRSYSTEMS _B.T.IJ, <br />__t.�. <br />UNIT HEATERS -- 0 TL. <br />CLOTHESDRYERS <br />VENTILATION FI,N <br />RANGEHOOD <br />WATEP HEATER <br />WOODSTOVE <br />METAL FlPEPLACE 6 CHIMNEV <br />FIFEPLACEINSERT <br />HEITPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SU9TOTAL S <br />PEflMIT 5 <br />TOTAL FEE 5 I I I_— <br />PEARSEIf+ACY Si0L5Ei0ACK '�'LANCHECH <br />�oTRnEn <br />rvr� cr coxnFucnov ncroa� <br />NO OF 5'.^.�IEi <br />fIRE SPPINN�ERS REOD <br />❑ YES ❑ NO <br />VALANi SILE FEES <br />] YES ❑ NO <br />.,,,,.�Foarov,auvcur���s BUILOING <br />YES ❑ NO <br />'-+EiG11T LINIiM1iION <br />CITY OF EVERETT <br />I.00AL SALES <br />TAX CODE IS <br />PERMITS EXPIRE IF WORK IS NOT COR1MENf:ED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />PLI�M�ING <br />SUBTOTAL <br />PERhYIT <br />TOTALFEE <br />FEE <br />MECHANICAL <br />OTHER <br />STATE �UILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />PUBLIC WORKS <br />AD!iiiESS FII i- <br />M <br />Y VALIDATED <br />FEE <br />5 <br />� <br />RECEIPT NO <br />c'.�.��� <br />