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N <br />ia �q �° <br />7 i3 <br />C x 1C-i <br />7 H5 tn <br />H �L H <br />O C O <br />� fA M�+ <br />C � T <br />b7 t�C <br />�'R <br />b H b] <br />t' N .zi <br />O N <br />nov� <br />�e�r <br />H O vi <br />I �� <br />Uirh:i•rrti+��''�n l ��V�, 1���•�i.!'� <br />Clil Uf 2��� f � <br />�verett PER�i1gT PERMIT NO. <br />259 - 8810 ❑ PLUMBING n sirr+ <br />❑ BUILDING MECHANICAL <br />❑ CEldOLITION ❑ COMBINATiDN r,�, ����or:e <br />.�nii �ow.esc <br />cnr <br />s�:no� 96201 258-9222 <br />Bverett Housir.� Authority 14th 6 Poplar Everett i��, r��o�e <br />CITT <br />- MAIL ADO�E55 <br />'ENANL <br />CIiY <br />ZIP PHO�lE <br />AIAIL AODRE55 <br />qNCMItELT O� OESiGNE� LICENtiE • <br />ZIP PHONE <br />MAIL <br />M1IECHANICAI CONTflPG fOP <br />G�rby, Inc. 1�971 127th P1ace N.E. <br />,�-- ran: <br />cin�so�woaK ���nnu QALTERATION ❑REPAIR <br />� n�.. - <br />—�— <br />CONTRACT PRIC'c OF WOF7K: S <br />DESC��OE K'ORK FNO 5011AFE f OOiAGE <br />Replace 2 gas furnace <br />I•tulti-family dwelling <br />anoroseo use ov ounau+c <br />�oi __ u�orn _ or - <br />On file <br />� <br />�otanoor�ess <br />804-08 Linden <br />PLUMBING <br />N0. T�PE OF FIXTURE GA <br />WATER CLOSET �TOILET) <br />BATHTU� <br />�qyp7pqYIWASHBA5IN� <br />$MOWLR <br />vrteNFNSINK6D�SP. _ <br />�LOTMES WA�ME � <br />URINAL <br />❑RINKINGFO_ ��NTA�= <br />FLOOR �RAI=� <br />E1ALkFLO`N PREVENTEflS <br />ROOF DRAIN <br />���- <br />SINK �SERVIGE �- BAR. ETC.1 <br />USEZONE <br />;izE <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />iEAR SETUFCI( <br />�or nnen <br />NO. OF StOf11E5 <br />RPESP�INeLEPSf <br />❑ YES ❑ NO <br />S <br />S <br />�ITY <br />ZIP PMONE LIGENiE � <br />arr <br />i-3471 CORBY**26205 - <br />2�� CHONE IILE�S[� <br />CITY <br />❑ uen+ourror�6/17/90 o�su�LblNfi�a�llbEnndoN � <br />� AND PMONE NO IG O*MEB TM�N PEO�F <br />{l000'S364 <br />-- � iFiJ• <br />{{000��"5 _..�,,�— <br />M —:.'�J.UU <br />:{��L�S�UE - <br />--- nECf� � <br />1f00025367 <br />a�0�2536'� • <br />J.. <br />i�17���J.=7� <br />— 1. .��. - <br />ri0U0'S369 — <br />Corvin�i •r�.,�. <br />MECHAN!CAL <br />TYPE OF E� <br />FEE NO. _�_ <br />A/C - NHNDLG UNITS - M P. <br />z FORCE�A�RSYSTFMS-� M <br />UNITHEATERS-BTU h� <br />CLCTNESDRVERS _ <br />VENTILAT�ON FAN <br />RANGEHOOD <br />WATLR HEATER <br />WOODSTOVE <br />- METAL FIREPLACE fl CWIdNEY <br />FIflEPIACE IFSER� <br />HEATPUMP <br />GAS PIPING <br />E%IiAUST FAN <br />PLAN <br />SUBTOTAL <br />PEPMIT <br />TOTAIFEE <br />FEE <br />vncnHt srte FEES <br />❑ V£5 ❑ NQ 5 <br />ccr�w.�... tiaaroxtui�+cuiws BUILDWG <br />� PLUN��ING <br />OnSEMENT <br />❑ VES ❑ fJ0 <br />MECHANICAL <br />n[iG��rueurn*ior� pTHER <br />STATE CUILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />CITY OF EVERETT pU6LIC W�RK� <br />LOCALSALES <br />'fAX CODE IS TOTAL <br />PERMITS EXPIRE iF WORK IS NOT COMMEN�ED^W^THIN <br />.-� ❑nn .�.,.- _... <br />.., n'.YH ... �.,. • <br />� <br />AD�NESS FILF <br />FEE <br />� <br />t <br />f <br />FlECEIPT NO <br />55 <br />, , n <br />GJ��s <br />