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cr�a <br />b1 <br />10 tyC <br />� H N <br />��x <br />�< n <br />O C O <br />'0 ta �7 <br />N H <br />y r <br />C Z 5 <br />� H O <br />� M <br />c� =� n <br />M ❑ <br />b H � <br />r�� H y <br />O y F+ <br />O C N <br />Q C <br />zror <br />zyv��, <br />H O tn <br />r,,,.,_,,,A„..<,,� C.JNSTRUCTiOrV <br />�:.�i v or `` c <br />e�erett PERMIT PERMITNO. �JJ�`� <br />259-8810 <br />❑ DEMOLITION � COMBINATION ❑ BUILDING �'y MECHANICAL ❑ PLUM�ING ❑ SIGN <br />;:.uui r.mi�nootaess crtv nr vrrouc <br />i�:verett Flousing Authori�y 14th 5 Poplar Everett 98201 258 9222 <br />rcr.�arvt rananooness att z�r• r��aue <br />NAiL nD�RESS <br />MNIL /.�DRESS <br />C�TY <br />CITY <br />ZIP PMONE <br />LIP ��IONE IIf.EI:'.I. � <br />NECHANICA�CONTIIACTOR MAILAODRESS CITY ZIP ��1JNE UC[t15E� <br />Corby Inc 1471 127th P1 NE Bellevue 98005 646 3471 CORBY*��2fi^OS <br />f�Whll3iNGCONTMGTOP IAALLAODFE55 CITY ZIY (HOIIE CE SC <br />09/1°/90 3:53PH OO�Ab3b33 G'ft.:4 <br />r.uss or wonK � <br />❑ NEW ❑ A�DITION QALTEHATION ❑ PEPAIR ❑ DEMOLITION���� BUILDING flELOCATION <br />COHTPCt PEfI50N ANp PMONE NO. IF C�IHIIPN R004�55� W <br />CONTRACT PRICE OF WORK' S 13%O HOOO�SSS3 <br />DESCRiCE1VOPNANOS�UARE�00TAGEINVOLVED HECH 455.00 <br />���8 q00Q�5564 <br />HECH 355•0� <br />HQ��LS� <br />v�aovos[ouseovow�ort+c hFCH S5S.00 <br />Piulti family tf00Q�5566 <br />L[Gr1L OCSCfUPiION OG PNOPEIITY �SN01Y 0[lOW OP ATf�CM FOUR LOCIES� �CH sSS.00 <br />NOOQ25567 <br />LOT —. F1lOCN _— OF <br />tfECH 855.00 <br />on fil.e CHECY 5�30.00 <br />�oonooness <br />108, 10 LOCust <br />PLUM9ING <br />NO. TYPE OF <br />WATER CLOSET �T( <br />USEZONE <br />ivCE Of <br />LAVATORY <br />NITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAl1NDRY 7RAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />OACKFLOW P�EVENTERS <br />ROOF �RAINS — RAINLF4DER5 <br />31NK �SERVICE — BAR, ETC.� <br />SUBTOTAL <br />PERMIT _ <br />TOTALFEE <br />"BACN REARSETPpLH <br />LOiAOEA <br />i1POf,fi0Na110W�BtE NPEDGLONSiPUC110NAC1Ut <br />.oc r+o orsronies <br />CYLOAD FlPESPqINHlEfI5PC0'D <br />❑ YES ❑ NO <br />REh50NfOR <br />� <br />S <br />5 <br />SIp[ SEIDACK <br />VACANT SITE <br />❑ YES ❑ NO <br />�����k� NO.Of�xFlWlfl <br />OFSEIdENT <br />❑ YES ❑ NO <br />HEIGIIi LII.IITATION <br />nri�noveo�v CIT`f GF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PEfiMITS EXPIRE IF WORK IS NOT CUMMENCED WITHIN <br />1AP DAYS OR CEASES FOR MORF Tu^�� 1R0 f10.V� <br />MECHANICAL <br />NO. 7YPE OFE�UIPMENT <br />NC — A/HNOLG UNITS — H P. <br />FO(iCED AIR SYSTEMS — � T.U. h1 EA. <br />11NITHEATERS—OS.U. �•� <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATERMEATEF _ <br />WOODSTOVE _ <br />METAL FIREPLACE 8 CHIMNEY _ <br />FIREPLACEINSERT __ <br />HEAT Pl1MP - ___ <br />GA$ PIPING <br />EXHAUSTFAN <br />PLAN CHECK NUIdE3EP <br />SUB70TAL <br />PEHMIT <br />TOTALFEE <br />FEE <br />FEES <br />BUILOING $ <br />PLUMBING <br />A'ECMANICAL <br />OTHER <br />STqTE BUIL�ING SURChIARGE <br />STATEENERGVSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />WHEN PROPERLY VALI <br />A�DRESS FILL <br />THIS <br />S <br />REGEIPT �10. <br />I7 <br />25�G� <br />