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y C' � <br />'�+7 �1 <br />b � y <br />b H N <br />K � � <br />H ?1 <br />�V M '9 <br />y M <br />C 5 � <br />l9 O C�1 <br />H O <br />O N <br />z � o <br />� :' °n <br />., cg <br />� H lC <br />2 <br />i� ti <br />O N <br />(7 O f/1 <br />C C <br />x b r <br />H O tN1'. <br />i'�� <br />� ��� <br />�t s <br />,�:..,��,�,.,,: ���ST�UCl'I��'' <br />��.,,� �,� <br />�veretic PERMIT PERMIT NO. <br />259-8810 <br />� GEMOLITION ❑ COMBINATION ❑ BUILDING �] MECHANICAL ❑ PLUMBING <br />.. n•�ainooaess arv nr e��o�+e <br />rite <br />Everett Housing Authority 19th & Poplar Everett 98201 258-9222 <br />nvi <br />r.�a��,00�css ci*r ziN vHor+E <br />r� �.OIRECT OR DESIG4EA <br />MAILAOOAE55 CITY ZIP �HONE <br />h1AILa0DFE55 CITV ZIP �'110NE <br />� d'lLi1AL CON1P4CtOP <br />!�tpwNICALLONTMCiOR MAILAODPE55 CrtY ZIP PHON[ <br />Corby, Inc. 1471 127th Place N.E. Bellewe 98005 646-3471 CORBY**26205 <br />r�ai�nooi�es:: cirr :i. i�r�o�e <br />!�� o�nowc corvrn .c*c;� <br />Q 4^u5 OF WOf1N <br />fl NEW ❑ AODI710N �] ALTERA710N .❑ REPAIR ❑ DEMOLITION ❑ BWLDING RELOCA <br />CONTApi PEPSON ANO F��01�E NO �� V u2n i n��• �uvri <br />CONTRACT PRICE Of WORK'. S 13iO <br />�;�s :ame woarc nHo sou���e voorn�e ivvo�veo <br />Replace 2 gas `urnaces <br />L! SIGN <br />IICV: f. <br />ua �. c � <br />uc[�:r— <br />OB/:';i`;'0 4:!1FCi r:lil;cg,?4'� <br />i•tulti-f�niily dwelling <br />rnovoseo use ov ouaoirvc R00025:7° <br />LEGAL OESCRIPTION O� �'�OPEPTT ISHOW BELOW OR ATTACM LOUR WPIE51 �O�LLS?7: <br />�or— ciocK — oF 'vV� <br />HU��25ii4 <br />on file �� � �-• - <br />:000��>�s <br />!JbADUR[95 ��'OOC�LJJ�E' yr <br />312-14 Linden <br />PLUMBING <br />NO. TYPE OF FIX7U <br />WATEF CLOSET �TOILET) <br />BATHTUB <br />LAVATORV IWASH BASIN� <br />SHON`R <br />KITCHEN SINN 8 DISP. <br />DISITYlA$NEP _ <br />LAUNDRYTRAY <br />GLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FtOOR DRA�N <br />BALHFLOW PiiEVENTERS <br />POOP DRAINS — RAINLE/ <br />SINK�SERVICE — BAR,Ei <br />FRONT SEIDACH <br />USE ZONE <br />S�ZE Of Oloc <br />O.`.CtIPANCYLORp <br />i :r1vpR5cRMKlEns <br />��; �i innnoti nCC. or <br />MECHANICAL +,�,p; <br />OR ITEM FEE NO. TVPE OF EOUIPI <br />A�C — AMNDLG UMITS — H;P )'., <br />Z FORCEDAIRSYSTEMS—Bi;� <br />UNITMEATEAS—B.T.U. ��]I <br />CLOTHESDRYEFS HE <br />VEMTIIATION FAN (�(j <br />RANGEHOOD � <br />WATERHEATER <br />WO00 STOVE <br />AIETAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />,,,. E%MAUST FAN <br />SUBTOTAL <br />PEflMIT <br />TOTALFEE <br />nfPn5Ei0l,CK <br />ioi nr�cn <br />1V�E Oi LOHSiPII,:➢ <br />NJ Oi STO�IkS <br />E SPO W eLE�S PEO-0 <br />YES CI NO <br />� <br />S <br />S <br />SiDE 5[Tt3ACN <br />GHECK <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />FEE <br />vacnN*sirE FEES ' <br />❑ YES ❑ NO <br />,wo��� qap�oWFUMGuhnS DUILDING S <br />PLUM�ING <br />BASE�A[NT <br />❑ VES O NO �1ECHANICAL <br />��EicNtuaiTnlior� p�HER <br />STATE 0 W LDING SURCHARGE <br />STF.TE ENERGV SURCHARGE <br />CITY OF EVERETT pU�LIC WORKS <br />LOCALSALES <br />TAY. CODE IS TOTAL <br />3105 ___ _ �yNEN PROPERLY VAIi <br />PFNMITS EXPIRE IF WORK IS NOi COMtdENCED WITHW ;�ppi{�;,g i IL[ <br />180 DAYS O!i CEASES FOR MORE THAN 180 DAYS. <br />M EA <br />�5 <br />RECEIPT NO <br />IS YOUR <br />T <br />