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� y <br />C�H <br />�HV� <br />H�� <br />�'i n <br />^CH� <br />Hy <br />OZO <br />HG <br />��g <br />H� � <br />xy� <br />g�y <br />C��N <br />�o� <br />fheF.'t•rr�,�rrn � �NSTRUCTION � � � �- <br />GTl' OF `C <br />everett PERMIT PERMITNO.. ��J�?11 <br />259-8810 <br />rJ DEMOLITION ❑ COMBINATION ❑ BUILDING C7� MECHANICAL ❑ PLUMBING ❑ SIGN <br />rnyr�En unaaoon[ss arr zir I'nONE <br />Hverett Housing Authority 14th 6 Poplar 98201 258 9222 <br />i[NAIIT FUILAGORESi CItY ZIP PMORE <br />ORU[S�GNEP AIR�INOpRE55 C�Tv Z�P PNON[ <br />GENEIIALCONTPRCTOR ��F�LlOD�E55 CIiY ZIP PHONE LICENSE• <br />MECHANiCnLLONTRAGI00 MAILAOpRE55 CITY Z�P ���ONE L�CENSC• <br />Corby, Inc 1471 127th P1 NG Bellevue 98005 646 3471 CORBI'�•t26205 <br />PWMpMGCOMRACTOR MAILApORE55 CITY 21P PMONE LIC[NiF.• <br />CL�SS Of WORK <br />❑ NEW ❑ ADDITION <br />CONTRACT PRICE OF WORK: S 13%O <br />pE5Cf11pE WORK f.N� SOUARE fOOTAGE INVOL <br />Replace gas furnaces <br />IXALTERATION <br />❑ REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br />GONiACT �EBSON ANO PIION[ NO IF OTHER TNAN: pOVE <br />U7/lL/7U J�JJrn wunnow.a *-�. • <br />rg��� :s� ro — <br />Pl10�'��SED WE OG BUILDING �rJ�3 <br />Piulti family MFfY1 si5 m __ <br />LEGAL DESCRiPTiON OF PROPERrv �SNOW p[lOW 011 RTTPCN f0119 COFtE51 �' � <br />ru ss� m <br />LOT _ 6LOCN — OG <br />q00025565 <br />on file HFC11 �45_00 <br />p00025566 <br />�oonoor+Ess <br />837, 39 P: <br />PLUMBING <br />TVPE OF FI%TUHE <br />WpTER CLOSET �TOILET� <br />BATMTUB <br />KITCMEN SINN 6 OISP. <br />DISHWASHEF <br />LAUNDFIY TRAY <br />CLOTHES WASMER <br />URINAL <br />ORINKING FOl1NTAIN <br />FLOOR DRAIN <br />BACNFLOW PREVENTERS <br />FOOF DRnINS — RnINLEAOERS <br />SINN ISERwCE — BAR, ETC.� <br />USE20NE <br />lrf4 f'F COx$Ifi�Ci'�u'1 <br />SI.'E OF OL�G <br />CCCUP/NCYLJAO <br />SUBTOTAL <br />PEHMIT <br />TOTAL FEE <br />RE/f15ETBRCN <br />LOTARE� <br />atlQa,P:[ ttifOf COHSIRUO <br />NO Of STORiES <br />PCaSOY fOR SPPINHL[f15 <br />OY <br />S <br />f <br />S <br />SiOE SET�nCK <br />VACANT SITE <br />❑ VES ❑ NO <br />atNnt ,,,�., � ' ra o� v. <br />❑ VES ❑ NO <br />RPESvqiNKLERSREOD HHGMTLiNITATiON <br />❑ YES ❑ NO <br />p1 I CITY OF EVERETT <br />LOCALSALES <br />TAY. CODE IS <br />3105 <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />— <br />MECHANICAL CIECI� i330.O� <br />TYPE OF EOUIPI <br />A�C — h'HNOLG UNITS — M P. <br />PCRCED AIR S�STEMS — B T.0 <br />UNIT NEATERS — 0 T U <br />CLOTHESDRVEFS <br />VENTILATION FAN <br />RANGEHOOD <br />WATERMEATER <br />\VOOD STOVE <br />MEiAL FIREPLACE 8 CHIh7NEV <br />FlREPLACEINSERT <br />HEAT Pl1MP <br />GAS PIPING <br />E%HAUSTFAN <br />SIIB TOTAL <br />PERMIT <br />PLAN CHECK NU!dOE� I FEE <br />O111L�ING 5 <br />PWMBING <br />MECHANICAL <br />OTHER <br />STATE BUILOING SURCHARGE <br />STATEENEFGYSUNCHARGE <br />PUBLIC YlORNS <br />TOTAL <br />WHEN PROPERLY VALI <br />ADURESS FILE <br />� <br />� <br />FEE <br />� <br />f <br />S <br />PECEIPT NO <br />FEE <br />25564 <br />'� r <br />