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� � 'il <br />H <br />�HVHi <br />H�� <br />K n <br />pH 70 <br />'i1H� <br />yy�x�x <br />o�d <br />��g <br />�r n <br />t"y� <br />ti y <br />g �' <br />o�c�i� <br />�o� <br />r'I' r�`(rAr"!' � ONSTRUCTION � <br />CITY 0'r CC <br />everett PERMIT PERMITNO. �JJb � <br />259-8810 <br />❑ DEMOLITION ❑ COM9INATION ❑ BUILDING �1 MECHANICP.L ❑ PLUMBING ❑ SIGN <br />O\VNER MNl AUDRES$ C4Y ZiV P110NE <br />Everett Housing Authori.ty 14th & Ponlar Gverect 98201 258 9222 <br />1ENRNT AIAllA00RE55 CIiY lIP PHONE <br />ORDESIGNEP AIRILA�ORE55 CrtY ZIP PNONE <br />GENER�tCONT1IACTOR �InILA�ORE55 CITV 21P �MONE LICENSE• <br />MECNANiCnLCONiRnCTOR h1AILA00RE55 Clrv ZiV �HONE UCENS[• <br />Corby Inc 1471 127th Pl NC Bellevue 98005 G46 3471 CORBY**2G205 <br />{'WMOINOGONTP�CTOR AIAILAODRE55 GTY ZIP PIIONE IICENSE <br />CLASS OF 1VO�K <br />❑ NEW ❑ AODITION <br />TEHATION <br />❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONiRCT FERSON RNO PMON[ NO IF OTHEl1 TMFN FOOVG <br />CONTRACT PRICE OF WORK' S 13]O I !b 1O O!1 <br />0[SCRIOEN'O�NAN�SOUAREfOOTAGE�NVOIVEO y��yL��y 3�36FM OOOFlq3628 :ktl't <br />Replace gas furnaces � <br />q0002S.55^ <br />�sru css_m <br />P�OPOSHD USE OF ODUOING bOOO'ZSS�I) <br />Plulti familv ��y ess m <br />LEG4L �ESLRiPiION OF PROPERTY �SNOW �EL01Y OP ATTACN GOUR COPiES� IWlp�61 <br />ttwv <br />�or— e�oc� — o� <br />.ri <br />Joa nooxe•5 <br />733, 35 Pi.ne St <br />PLUMBIN . <br />NO. TYPE OF <br />R'ATER CLOSET IT( <br />KITCNEN SINN 8 OISP. <br />OISHN'ASNER <br />LAUNDRYTRAV <br />CLOTMES WASHER <br />URINAL <br />DRINHING FOUNTAIN <br />FLOOR DRAIN <br />ROOF ORAINS — PAINLEADERS <br />SINK �SL'RVICE — BAR. ETCJ <br />SUBTOTAL S <br />PERMIT f <br />TOTAL FEE S <br />LRONTSETA�CN PGNSET04CK 5 <br />USE20NE �OT0.FEA V <br />Si2E GF DLDG <br />Fl.45�NfOR <br />LOAO <br />� OF STOFiES <br />IE SPNNKLCPS RE00 <br />YES ❑ NO <br />CFIECF; 5165.D0 <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENI <br />NC — A; HNDLG UNITS — M P. <br />7 FORCE� AIP SYSTEAIS — B T U. <br />$ETB�CK <br />r.nr�r srtE <br />YES ❑ NO <br />UNIT NEnTERS — 8.T U <br />CIOTNESDFYERS <br />VENTI�ATION FAN _ <br />RANGEHOOD <br />WATEPHEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />MEAT Pl1MP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAI <br />PERMIT <br />TOTALFEE <br />PLANCHECKNUh18EF FEE <br />FEES ouai <br />iuGUM�s BUILDING $ <br />PLUMEING <br />OnSEiaENT <br />❑ YES ❑ NO <br />HE�GnI l�AIiTAT10N <br />ncc ov Ia�nr�snvrnoveoor I CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />PERMITS �?XPIRE IF WORK IS NC I' COMMENCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />MECHFNICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />PUOLIC WORKS <br />TOTAL <br />WHEN PROPERLY VI <br />AD�R[SS FlL[ <br />M <br />M <br />FEE <br />� <br />S <br />f <br />PECEIPT NO. <br />MIT <br />�5��i <br />