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NIP F:ICITY•rONSTRUCTION <br />OF Of <br />everett PERMIT PERMIT NO. <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING [j; MECHANICAL ❑ PLUMBING ❑ SIGN <br />OJM[N MAILADDPEGS f.Il ZIP <br />p l.[ <br />Everett Housing Authority 14[h a POD1SL Everett 9 <br />iEN820i 258-9222 _ <br />AIIi MAIL ADDRESS CITYplp pI ENE <br />MAIL ADDRESS CITY 21P Pn']IIC <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP I'I'D", LICE14M9 <br />MECHANICAL CONTRACTOR <br />A, ADORL55 <br />CITY <br />Corby, Inc. 1471 <br />127th Place N.E. Bellevue <br />98005 646-3471 <br />ZIP RICHE UCFNSEF <br />CORBY**26205 <br />I W--- OCONTRACTOR <br />MAIL ADDRESS <br />CITY <br />LIP PHONE UCENSEF <br />❑ NEW ❑ ADDITION C�{ALTEgATiON ❑REPAIR ❑ DEMOLITION C BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK:§ 2740 <br />Replace 4 Ras furnaces <br />Multi-familydwellin / - <br />PROPOSED USE OF DWLDINo <br />JJ <br />HECH $55.00 <br />IEWLpESCRIPTIONOE PROPCfliYISNOW DELOWOATTACH TOUR WRITER- � <br />LOT — BLOCK _ ., HECH- $55.00 <br />LILL Liie HECH 455.00 <br />NUU04-7,73— <br />HECH $65.00 <br />J BAOCRE55 <br />G d U <br />7807-0 - - MLCH <br />PLUMBING <br />_ $ ,5.00 <br />MECHANICAL RulJo2i'm <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />M <br />TYPE OF E044m 7T7� <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—NHNOLC UNITS—H,0.�1 <br />BATHTUB <br />FORCED AII` SYSTEMSlt� <br />L <br />LAVATORY (WASH BASUR <br />UNIT HEATERS —0TU M <br />SHOWER <br />CLOTHES DRYERS —*D4—mac <br />n <br />KITCHEN SINK A DISP. <br />VENTILATION FAN <br />DISHWA5HER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HE'.TEFF <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIT EPLACE A CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS — RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE — BAR, ETC.I <br />SUBTOTAL <br />f <br />SUBTOTAL <br />f <br />PERMIT <br />S <br />PERMIT <br />f <br />TOTALFEE <br />f <br />FNONTSETBACK REAR SETBACK <br />SIRESETBACK <br />TOTALFEE <br />PLAN CHECK NUMBER <br />FEE <br />f <br />RECEIPT NO <br />USEIONE <br />LOT AREA <br />VACANT SITE <br />O YES ❑ NO <br />FEES <br />BUILDING CODE <br />FEE <br />IYR OFCO4IRLCIICN AIIBWABLf <br />RK O CONSTRBCIKN ACIBAL <br />pw�i� 10 OF DATLLIMEWTS <br />BUILDING <br />E <br />SIZE OF BLDG <br />NO OF STORIES <br />BASEMENT <br />PLUMBING <br />MECHANICAL <br />6 <br />00 <br />❑ YES ❑ NO <br />OCCUPANCY LOAD TIRE SPRINKLER$REOD HEIGHT LIMITATION <br />❑ YES ❑ NO <br />OTHER <br />REASONFO ISmmKLERS <br />STATE BUILDING SURCHARGE <br />APPLICATION ACC, BY PLANS <br />APPROVED BY <br />STATE ENERGY SURCHARGE <br />CITY OF EVERETT <br />PUBLIC WORKS <br />— <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />TOTAL <br />..Lrn F'FBvrcNLT YAUUAI EO THIS IS YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 25378 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. ADDRESS FILE <br />