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C [' �V <br />� � H <br />7 �J N <br />K � n <br />H � <br />'p M � <br />� N Hr <br />[*] y � <br />A C1 O <br />N M O <br />H , G <br />� H � <br />z <br />O N y <br />(�] O N <br />`� ro � <br />zym <br />H O fn <br />i <br />� dg <br />1 VA' <br />1 , <br />_4=� <br />fiicl�.t'rrl:+-�'�'�� �p[�STFiUCTION <br />��� � PERMIT NO. _ � � � � U <br />everett PER M IT <br />259 - 8810 PLUMBING ❑ SIGN <br />C� MECHANICAL ❑ <br />p DEMOLITION ❑ COMBINATION ❑ BUILDING cl r Z1f, a�wr+e <br />;:.ncn r.,.Fu nooness <br />Gverett Housing .^.�ithority 14ty 6 Paplar P.veretC 98201 258 9222zP p��oue <br />' raainooness u*r <br />i[1:4Ni _ <br />nFO11TECT OR OESiGNE11 MRLL ACpPE55 <br />GIiY ZIP PMONE <br />� ZIP FHONE LICE��';t � <br />GENERALCONIRFLTOP <br />MNIL AOOPESS CITY <br />CITT ZIP PHONE I.ICR!>[. <br />MMIL ADDPES$ <br />mecHarrcni cor+rnncroa CORBY��26205 <br />Corby, Inc 1471 127th Pl NE Bellevue 98005 G46 3471 Z p„aNE ���.�+;�• <br />PW1d�ING LONTRAGTOfi pInIL AODRES$ <br />_ '.�r"n�o r^iNvv` ��`;..% <br />00 <br />c�Rssor�vo�rc � ❑BUILDINGFELOCATION <br />n uaw ❑ ADDI710N �.ALTEflA710N ❑ REPAIR ❑ DEMOLITION VE <br />CONTRACTPRICcOFWORK:S 13JO <br />OESClUOE 1VORK ANO SOt1ARE FOOTAGE INVOLVEO <br />Replace gas furnaces <br />PROFOSEO I15E OF BUiIDING <br />Plulti family dwelling <br />LGGAL DESCiiIP`ION OF FROPERTY �SMO\V �ELOW OR <br />�pr _ o�ocK _ oF <br />on file _ <br />16, 18 L� <br />PLUMBING <br />NO. <br />t <br />OF FI%TUflE <br />SINN 8 <br />HEA <br />'TRAY <br />11RINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOYlPREVENTE'� <br />pOOF DRAINS — RAINI <br />SINK �SERVICE — BAR. <br />SUBTOTAL <br />PEflMIT <br />` TOTALFEE <br />fRONT5ET0ACK PEABSET�/.GH <br />USEiONE ���AR�A <br />IYP[OFLNISIPlICI1011<LLO'6ABlE IYPEOFCONS11WCilONFCI�t <br />512GOFOLf.G. NO.OF90BIE5 <br />OCf.JPANGY LOA� FlP[ 51'PINH� ERS f1E00 <br />❑ VES ❑ N� <br />r�ensorv ron srrarirc�rns <br />� nPP�ICAT10NACC BY PL��lSAPPROVEO�Y <br />S <br />S <br />�„���,,,.,. � . <br />t��C^H^� 555.�0 <br />ppp{�L.�.�bJ <br />iiECH 455.0� <br />��— <br />t1ECH f55.00 <br />"�-��_ <br />yFfE�CpHp�� 455.00 <br />MllWL.i�+�+� <br />yt1�ECH�G{ 455.00 <br />XUUUL./.��� <br />I�CH 555.00 <br />MECHANICAL <br />Np TVPE OF EOUIPMENT <br />A/C — A�HNOLG UNITS — H�P- <br />Z FORCEOAIRSYSTEIdS—BT.U. h1 <br />UNITMEATERS—�T.U. �� <br />CLOTHESDRYERS <br />VENTILATION FA1J <br />RANG6HOOC <br />\VATEfl HE�TEF <br />WOODSTOVE <br />METAL FIREPLAGE 6 GHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />Si0E5ETOnCN PLANCHECKNUMBER FEE <br />VAC.PNTSRL FEES <br />❑ YES ❑ NO <br />m_u:o(�<� uooFowEuu;Guviis BUILDING <br />PLUM�ING <br />OASEMENi — <br />❑ YES ❑ NO MECHANICAL <br />MEIGIIiLIAIITAT10N OfHE�i <br />STATE DUILDING SURCNARG <br />STnTEENEFGYSURCHARGE <br />CITY OF EVERETT PU�LIC WORKS <br />LOCALSALES <br />TAX CODE IS TOTAL <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN qDDfICSS fII.E <br />FEE <br />�f <br />HECEIPT NO. <br />IS <br />2556G <br />551 00 <br />