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� � 'S1 <br />C � x <br />>Hf~i� <br />� <br />H�H <br />K n <br />�tlH� <br />Hy <br />� <br />O � d <br />��g <br />�V n <br />t"y� <br />�yH <br />C!�l�q <br />�O� <br />`h`,:°�.�T�a� 7NSTRUCTION � <br />-. �.. <br />everett PERMIT PERMITNO. 25F41 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />oe:Nen n�nanooness arr ziv nnoHfl <br />Everett Housin� AuChoritv 14th & Ponlar Cverett 98201 258 9222 <br />TENANT h�NLAO�I1E55 CITY ZIP CMONE <br />MCHITECTONOESIGNEP AtAILn0�BE55 CRY Zlv PMONE <br />CONTRRCTOF AIAI�ADDRE55 CITV ZIP PMON[ �ICENS[� <br />IAECMANICALCONTPACTOR MAllAO�R[55 CIiY ZIP PMONE �ICE1l56� <br />CorUy, Inc 1471 127th Pl NE IIellevue 98005 646 3471 CORBY**2G205 <br />PLUMOINGCONTRACTOR MAlI.A00FE55 [IiV 21P PMONE LICEN>L�� <br />canss oF wonK <br />❑ NEW ❑ ADDITION Ch ALTEflATION ❑ REPAIR ❑ DEMOLITIOI <br />CONTnCT PERSON M�0 PnON[ NO iF <br />CONTRACT PRICE OF WORK: S ZJ4O I � <br />OESCRiOE WOfirc AND SOUARE GOOTnGE iNVOLVE� ���9 <br />►IECH f45.00 <br />�a��C�b+ac f��rnnrnc �5(0 <br />MECH i45.00 <br />PBOVOSED USE OF CUIL�ING H000�4: <br />IfECH 565.00 <br />_n� tt fnmilv qY0C0t1�55h2�t� — <br />LEG/L OESCRIFTION OF (�ROPERTY �5M0\Y BELOYIOR ATTACM GOl1R COPiE51 I cCH �OJ. W <br />lOT _ �LOCK _ OF <br />�� 5�.� <br />nn filo ���i �n,e��� <br />JOBADD�E55 <br />PLUMBING <br />NO. TYPE OF FIXTURE Op ITEM <br />BATHTUB <br />LAVATORY <br />SHOWER <br />OISMWaSHER <br />LAUNOflVTRAV <br />CIOTHES WASHER <br />DRI�NING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINIEADERS <br />ffiOYi SETpRLN <br />115E ZONE <br />rv� v ca�vnuaarv nuan: <br />StZE OF B��G <br />occuvar.cv �ono <br />r[asON fOR 51'PiNM�EPS <br />SUBTOTAL S <br />PEHMIT = <br />TOTALFEE S <br />PEAR 5[TOnCe 5 <br />LOTRREA V <br />C <br />rvr�acaNsraucnor�aciwi � <br />NDOFSTOFIES 8 <br />C <br />RRE SvqMMLERS �EO U <br />❑ YES ❑ NO <br />FEE <br />JES[ipFCK <br />CRNT SIiE <br />YES ❑ NO <br />i.a+' NO W �dEl:l`f, <br />SEA�ENT <br />YES O NO <br />NE:GHT LIkITAT10N <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />PERMITS E%PIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />MECHANICAL <br />A'C — A� HNOLG UNITS — M P. <br />FORCED AIR SYSTEh15 — C TL. M EA <br />UNITHEATERS—OS.0 6I <br />CLOTHESDRYERS <br />'JENTI�ATION FAN <br />RANG[HDOD <br />1vOOD STOVE <br />h1ETAL FIREPLACE 8 CHIMNEV <br />FIREPLACE IHSERT <br />HEAT PUbIP <br />GAS PIPING <br />EXHAUSTFAN <br />PLAN CHECK NUA1pER <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING <br />SUBTOTAL <br />PEHMIT <br />TOTALPEE <br />FEE <br />auao <br />S v <br />STATEENERGVSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />WHEN PROPERLY VALIDA <br />ADDRESS f�il[ <br />5 <br />� <br />RECEIPT NO <br />PERMIT <br />