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� � b <br />� � {p� <br />�°e � S <br />�o�p �n � <br />M OE [Qf[Qf[QfJJJ777 <br />M, � <br />� M <br />C' <br />M <br />N <br />W q <br />O � <br />ryl S "}'�,a.. .' . . <br />�.y _ .'i Fy'rf'<i:, � <br />the F.r�rgrern <br />CITY OF <br />everett <br />259-8810 <br />' ('�NSTRUCTION �- Cc c <br />PERMIT PERMIT NO. _� J`� � u <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �{l <br />MECHANICAL ❑ PLUMBING ❑ S�GN <br />MAILAO�RE55 CITY ZiP GHONE <br />OWNER <br />Everett Housing Authority 14th & Poplar Everett 95201 258-9222 <br />T[NFNT MAIL ADDRESS <br />CiiV ZIP PMONE <br />DESIGNER MPR �ODRE55 <br />QTY ZIP PMONE <br />GENERAL CONT1iI.GTOR AIPIL A�ORE55 <br />CITY ZIP PNONE LIGENSE • <br />MECNANIC�Lf.ONiPPGTOP <br />MAILApDRE55 CITY ZIP PMONE UCENSE• <br />Corby, Inc 1471 127th Pl NE Bellevue 98005 646 3471 CORBY*�'�26205 <br />.... _.__....�........� MAILAOOflE55 CITY ZIV PMONE LICENSE� <br />C1F550F WORN <br />fl NEW ❑ ADOITION W AL7ERATION ❑ HEPAIR ❑ DEMOLITION O BUILDING RELOCATI <br />CONTACT PERSON PrvU m�nc rvv. �r v„�. <br />CONTRACT PRICE OF WORK: $ 2]4O <br />DESCHBEWGHNANp50UAlIEFOOTAGEINVOLVEO py/1LYU 1%�ll'� ww+��oa.. .+-- <br />FFOFOSE� USE OF BUILDiNG PIAFlG� <br />LEG4lDE5CPIPT10NOF ROPERTY�SHOWBELOWONATT�CHFOUACOPIE51 �� <br />IOT-- B�OCK- OF Wyyy��.r <br />flNnlc.i.�� <br />H 1 -- �� <br />JOBAO�RE55 li+1cCF� =�1•W <br />PLUMBING <br />NO. TMPE OF FIJ(TURE Of <br />WATER CLOSEf (TOILET) <br />BATHTUB <br />LAVATORY(WASHBASIN� <br />SHOWER <br />KITCHEN SINK 6 OISP. <br />DISHWASHER <br />LAUN�RYTRAY <br />CLOTHES WASHEfi <br />URINAL <br />� DRINNING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />ROOF DftAINS — PAINLEAOERS <br />SINK ISERVICE—BAR, ETC.) <br />FRONT� <br />USEZONE <br />7YiE0FLON51PUCiqN, <br />� SI2EOGBLDG <br />OCCUPRNLYLOAD <br />C, <br />SUBTOTAL <br />PEHMIT <br />rorru rEe <br />REAR SET9ALK <br />LOT AREA <br />ttPE Of CDNSLPUC110N ACiUI <br />NO. OF STORiES <br />FIRE SPRINNLEPS AEO'0 <br />I� YES ❑ NO <br />� <br />SIDE SETBRCK <br />Vr1CANT SITE <br />❑ VES ❑ ND <br />��� • NO Of;WEI.IING L <br />Z� <br />BnSEMENT <br />❑ YES ❑ PIO <br />HEIGNT UMIUTION <br />BV PLANSAVPROVF.OBY I CITYOFEVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />MECHANICAL <br />PERMITS �XPIRE IF WORK IS NOT COMMENCED WITHIN <br />190 DAYS OH CEASES FOR MORE THAN 180 DAYS. <br />A/C — A/HNDLG UNITS — H.P. <br />FORCED AIR SVSTEMS — B T I <br />11N1T HEATERS — B.T.U. <br />VENTILATION FAN <br />RANGEHOOD <br />WpTERHEATER <br />METAL FIREPLACE 6 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXMAUSTFAN _ <br />SUBTOTAL <br />M EA. <br />M <br />f <br />TOTALFEE f <br />NUM9ER FEE flECEIPT <br />BUILDING $ <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />PUBLIC WORKS <br />ADURESS FILE <br />?5546 <br />65 <br />