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�C t' �O <br />tC y <br />C y <br />��n <br />H 'A <br />� H � <br />N M <br />� � � <br />61 � nC <br />� H by]� <br />M H <br />N <br />G N <br />�t°ui <br />H O tyn <br />' <br />�� <br />thel:bcrgrrcn �pNSTRUCTION � <br />CI (Y OF Cccp <br />everett PERMIi PERMITNO._�JJJv <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING X%3 MECHANICAL ❑ PLUMBING ❑ SIGN �. <br />O\5N611 <br />I.IA�LAUORG55 LIiY 21P PHONE <br />Everett [iousing Autnority 14th & Poplar Everett 98201 258-9222 <br />1CtUNT <br />MRILFDDRE55 CITY ZIP PM01lE ' <br />ARCIIRELT Ofl OcC'GNER <br />MAILADORE55 LITY ZIP P�IONE �' <br />GENERALCONTflALTOF <br />IAPILAOL�[So CITY 21P PHONE LICENSE� I <br />MAILhO�I!E55 CITY ZIP PMON[ LICENSE• i <br />MECHANICNLCONTRHCTOF <br />Corby, Itic. 1971 - 127th P1 NE Bellingham 98005 646-3471 �RBY**26205 <br />AIAILADDNE55 CITY 21P PMONE IICENSE• , <br />P W MB�NG CONTMLTOP <br />C1A550F WGRH <br />❑ NEW ❑ l.JDITION C��l7ERATION ❑ AEPAIR ❑ DEMOLITION O BUILDING RELOCATION . <br />CONiPCT PEPSON ANO PMONE NO. IF OTMER TMAN ADOVE <br />CONTHACT PRICE OF WORK: $ 13i0.00 u�/ i � <br />�ESLP�DE WOfiN ANO SOUAPE FOOTNGE INVOLVEO / <br />Re lace as furnaces q��`�5� <br />MECH 455.00 <br />ouaoiuc <br />Mll1Ll—ZaI[Ill`/ uwe.�.�.�.��u u� <br />LEGALOESCRIPTIONOFFROPERTY�SHOWBEIOWOflAiT/LHFOURCOFIES) fCCH SSS. <br />q00025557 M <br />LOT�BIOLN�OF �� SSS.W <br />pp0025558 <br />��{ 555.�0 <br />�oonnoness <br />854 - 856 Locust <br />PLUMBING <br />N0. 7YPE OF fIXTUPE Oq ITEM <br />1YATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY �WASH BASIN) <br />SHOWER <br />KITLMEN SINK 8 OISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOl1NTAIN <br />FLOOR ORAIN <br />BACKFIOW PREVENTERS <br />ROOF DRAINS — AAINLEADERS <br />SINK (SERVICE — BAR, ETC.) _— <br />SUBTOTAL 5 <br />PENMIT S <br />TOTALFEE S <br />FBONTSETBACN RERfl SETBACH 5 <br />ZONE <br />OF �LOG <br />RERSONFORSPflINBL[BS <br />APPLICATIOtJACC •lY <br />LOTPiiEA VACANTSITE <br />❑ vES ❑ NO <br />ttifOFCONSfPUC110NALNRL ���W'p' �OFpV <br />NOAFSTONES <br />FiOE SPPINNLE115 f1E00 <br />❑ YES ❑ NO <br />DASEAIENi <br />❑ YES ❑ NO <br />M[IGIIT LIAIITATION <br />°Y ICITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />z FORCEDAIRSYSTEtdS—BT.U. MEA. <br />UNIT MEATEflS — B.T.U. ��� <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATERHEATEfl <br />WOODSTOVE _ <br />PERMITS EXPIRE IF WORK IS NOT COMMENC.ED WIT�iIN <br />tA0 DAYS (1R CEASFS FOR MO�P Ti�np! 1pp ��VS <br />METAL fIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GASPIPING _ <br />EXHAUSTFAN <br />SUBTOTAL <br />P!'flM1T <br />f <br />S <br />FEE <br />NUM�ER I FEE I RECEIPTNO. <br />FEES <br />BUILDING S <br />PWMBING <br />MECHANICAL <br />OTHER <br />STAT[ �UILDING SURCHARGE <br />.STATEENERGVSURCHARGE <br />PUBLIC WORKS <br />TOT.4L <br />ADDRESS FILE <br />55 <br />IS YOUR <br />25558 <br />