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i� � m <br />� � H <br />9 H N <br />� <br />K O <br />H 7J <br />O p7 O <br />� N H <br />� H � <br />O M <br />z n o <br />� :' R <br />t^ y � <br />M H <br />O N <br />ReN <br />� °� <br />7C H u� <br />'3 O N <br />�.. <br />I' �i <br />�► ' <br />7hrLtelArrrn C��NSTRUCTIt��V � <br />CIlYO'r fJh��?. ;� <br />evereit PERMIT PERMITNO. ��•J�'�" <br />259-8810 <br />p DEMOLITION ❑ COMBINATION ❑ BUILDING m MECHANICAL Z4 ❑ PLUMBING�"E ❑ SIGN <br />C�ML:•LOBE55 CiTY <br />O\'M[R <br />Cverett Hous3ng Aur.l�ority 14t1i & Poplar Everett 98201 258-92221 r��or+� . <br />�,miinooness crtr �. <br />tE:NANT <br />Ofl DES�GNCR AIAR ADDqE55 <br />CITY Z�P FNON[ <br />y�Ty Z�p PIIONE L�CENSE^ I <br />GENEPAL CONTRACTOR M1��IL �1COPE55 <br />' <br />1.1ARADOP855 CITY ZIP CHONE LICENSE• ' <br />rnec��anicn� covmncron CORIIY�* 26205 <br />Corby, Inc 1471 127th Pl NE Bellevue 98005 646 3471 ip v�o�.E ucer,sea <br />F W MpiNG CONTFACTOR <br />M1IpIL AODRESS LITY <br />aass or wonn <br />❑ NEW <br />❑ ADDITION <br />ALTERATION ❑ REPAIR ❑ �EMOLITtON O BUILDING HELOCA710N <br />CONTAGT FEP504 <Np PHONE NO. I� m ncn i n�.n no�. _ <br />CONTRACT PRICE OF WOF7K' S 13]Q � <br />OESCRIBE \VORK AN� SOt1FRE FOOTAGE INVO W F� �I <br />Re lace as furances pq/1?/gp �:ppF`�f OOOf1N3616 �'�_� �� <br />usE or <br />LEGAI OESCRIPTION OF PPOPERTY �SHOVI �ELOW C�� n� i n�n ���^ ��^�+i �CH ¢'SS. W . <br />�o*— eiocK — o= q000?5551 ' <br />IiECH 455.00 <br />on file H00025552 <br />�oo <br />PLUMBING <br />NO. TVPE OF <br />WATER ClOSET �T� <br />ORINKING POI <br />FLOOR ORAIN <br />�1 <br />MECHANICAL "" <br />FEE NO. TYPE OF EOUIF <br />p�C — A/HNDLG UNITS — HP. <br />FOfiCED AIR SYSTEAIS — B T.l <br />UNIT HEATERS — B T.U_ <br />DISP. VENTILATION FHN _ <br />RANGEHOO� <br />WATERHEATEF <br />WOODSTOVE <br />=R <br />METAL FIREPLACE 8 CHIMNEY <br />TAM FIREPLACEINSERT <br />HEAT PUIdF <br />/[NTERS GAS PIPIN6 <br />EXHAUSTFAN <br />ROOF DFAINS — HA�rv�tnv�na <br />SINK (SERVICE — BAR, ETC J <br />SUBTOTAI <br />PERMIT <br />TOTALFEE <br />�PONTSETOALK �EARSETBPCK <br />JSEZONE LOTPPEA <br />❑PEOGLONSiPUG➢ONALIOWhOIE lY1'£ OFCON51PUC1 <br />S¢EOiOLOG �rvOAFSTORiEE <br />LOAO FlRESPPiNttLEP5RE0'0 <br />fl VES ❑ NO <br />S <br />f <br />SETonCrc � PLAN <br />VACANTSRE <br />❑ YES ❑ NO <br />o� �" uo. oF o�vuuqc i <br />LASEM[NT <br />❑ VES ❑ NO <br />I MEIGHT LIMITATION <br />ov PLANSAPf'FOVEDDY I CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />310:i <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />1E0 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />NUMBER <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />FEE <br />�UILDING 5 <br />PLUMBING <br />MECHANICAL <br />OTHEfi <br />STATE BUILOING SURCHARGE <br />STATEGNEFGVSURCHARGE <br />PU�LIC\NORKS _ <br />TOTAL <br />i wueN PROPERLY VALIDA <br />AD�PESS HLE <br />M EA. <br />M <br />FEE <br />5 <br />5 <br />PECEIPT NO. <br />S IS <br />25�a� <br />� �' <br />