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�w r x <br />ca <br />H <br />7 H Vl <br />y � H <br />K n <br />H ?7 <br />� y � <br />H <br />S <br />�.°30 <br />O N <br />x1 f� C <br />n�n❑ <br />� H L+7 <br />N y <br />O N <br />Q M <br />no�n <br />�5 t�a t+ <br />t� � <br />H O N <br />r����cr,���,��� v����l"1����V'�� 7n� <br />����erett �ERMIT PERMITNQ. �531 J <br />259-8810 <br />:=� DEMOLITION ❑ COMBINATION ❑ BUILDING f]{MECHANICAL ❑ PLUMBING C SIGN <br />qVCq AIAILADfJ(IESS CILY ZIP PMONC <br />LU Housing Auth 14th &� Poplar EV AA 98201 258-9222 <br />'i�:nrvr r.wanooncss crtv ziv r��or�e <br />:.li':I+rtELiOFOE_�GNE9 MAILACDRE55 CITY ZIP PhIONE <br />I.NILA�ORE55 CITV ZIP FIIONE fIC[Cf.� <br />'.'P.CIInNICALCONiR�CTOF lAf.IL:.JORE55 PTV ZIP P��ONE LI<Fr: �- <br />Corby, Inc. 1471 - 127th P1. NE Bell. CTA 98005 696-3471 COF2BY*26205 <br />i��w.�oinccor+ru.c*on naanoor+.ess crtr zu� v��orvE ucc. �. <br />CUSS OF VVJqK <br />❑ NEW ❑ ADDITION f',7 ALTEflATION ❑ REPAIR ❑ DEMOLITt01 <br />LONTACT P[RSON ANO PHONE NO. IF <br />CONTflACT PRICE OF WORK' S 1 3%O 1 ��'�'�'�°G'�� <br />oescnmEwonrcnrvoscunr,erootacei�+ve�veo '+,F�f{ 3�5,:^.:l <br />Replace 2 gas fiunaces xnn�i^�-�� — <br />MECH a5�.0, <br />��nn,�-�7� <br />PROPOSEDUSEOFf3UIL�ING i��LH l ��J.�� <br />Nn�lti familv '�rn,T's'�s _ <br />�.ccnioescnm.ior�orrnorenlvisNov+oi�ov�oanrrncNvouacoaies� HEL'H 4.b�.00 <br />}I000^"�` <br />�OT- OLOCK - OF <br />ME�H Y:SS.�G <br />xnrno=z^^ <br />rECH �`5.0� <br />:nMoc^vo <br />�:.OAUCRESc H�C�i ESS.CO <br />$1Q'2� Lll]C�Pn ..__.._'_-,. <br />MECHANICAL ;!�4,y � - <br />PLUMBING ^-- — <br />NO. <br />BATHTU[3 <br />KITCHEN SINK t <br />DISHWASHER <br />LAUNDRYTFAV <br />OF FI%TURE OR ITEM <br />ORINKI!JG FOUNTAIN <br />FLOOR ORAIN <br />�ACHFLOW PREVENTERS <br />ROOF DRAINS — RAINLEI <br />SINK (SERVICE — BAR, El <br />iYPEOFCON51fl1 <br />54E OF BLDG <br />occurArvcr <br />Ilfl.SON G00 <br />hPPLICAiIG. <br />SU�TOTAL <br />PEflMIT <br />TOTALFEE <br />Crc ne,wseroncn <br />lOi AREA <br />1GIIOi�M1iL64aGlC ttPEOFCON911pLil0YAC1UAL <br />NO. OF STORIES <br />LOAD fIRESGlIINe�EPSREO'D <br />❑ YES ❑ NO <br />SP9INKLLfLS <br />'14GC 6l FLAIJSAPPROVEU�Y <br />FEE NO. TYPE OF EOUTA6�f17,t <br />NC — A'HNDLG UNITS — HiSCH <br />FOfiCEOAIRSYSTEMS—BR'�1�FCK M <br />UNITHE4TER5—BT.0 h� <br />CLOTHES�RYERS <br />VENTILATION FAN <br />FANGEFIOOD <br />WATEfi HEATER <br />WOODSTOVE <br />METAL FIFEPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />MEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />� <br />5 <br />S <br />SIOE SEIDACN <br />VES ❑ NO <br />.,._.x� r+a oF o� <br />YF.S ❑ NO <br />HEIGHT L�IAITNTION <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PERMITS EXPIRE IF WORK IS NOT COMMENrED \Vi-i�HIN <br />180 DAYS OR GEASES FOR MORE THAN 180 DAYS. <br />PLAN <br />SUBTOTAL <br />i'ENMIT <br />FEE <br />FEES <br />BUILDING S <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE OUILDING SUPCN�RGE <br />STATEENERGVSURCHARGE <br />PU6LIC WORKS <br />TOTAL <br />AUURESS PILE <br />vnunnreo <br />FEE <br />S <br />RECEIPT NO. <br />G' .�'i � � � <br />