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xC"hJ <br />L�� � <br />'Dr.,�H <br />9Hrn <br />� <br />y H <br />Ox0 <br />'�J H "�J <br />H�L~"' <br />C=iOC� <br />H C7 <br />OH <br />�1 C) t7 <br />��o <br />zy� <br />�HH <br />g� <br />H <br />C] C7 V� <br />� � i=1 <br />zy�n <br />H O [n <br />I/� �1� <br />._' <br />I�A <br />! 6"`+ <br />fh��lirrr,�'rrrn �QA,������IQ�'� <br />C' i f ��I � r <br />eve�ett PERMiT PERMITNO. ���- <br />�59-8810 <br />❑ �EMOLITION �7 COMBINATION ❑ BUILDING C� MECHANICAL ❑ PLUMBING G SIGN <br />ov;n�en rnniinour+ess crr ziv w,w+=_ <br />Ever�tt Housing Authority 14th & Poplar Everett 98201 258-9222 <br />rcr�nnrt raaunoor+e�s crtr ziv vnar+e <br />nnCwtECT OR DESiGN[!i <br />GENERqL <br />f.IHIL ADOt1E55 <br />!dNL ApD�65: <br />CItY <br />CITY <br />��p vHONE <br />ZIP PIIONE UCENSEe <br />hiECN�NiC�LCONi11�CT0� h�FILADDRESS CILY ZiP PHONE LICENSE� <br />Corby, Inc 1471 127Ch i�lace NE Bellevue 98005 64G 3471 CORBY-�*26205 <br />PLUTAf31NGCONTRACTOP 1.'Nlrtppq�55 QTV lP PII01![ lICE1:$?e <br />CLA55 OF 110RN <br />❑ NEW ❑ ADDITION C�ALTERATION ❑ REPAIR ❑ DEMOL'710N ❑ BUILDING RELOCATION <br />i CONtnCi P[RtiON Arvp �MC'+E GJ IF oiHE� rMnrv nuuve <br />CONTRACT PRICE OF WORK' S ��7e <br />� U8/17l° °>" '1�l 3�n_' � <br />� <br />vnoroseo we o: um�oir�c' yp�p��3gy <br />r u .:.�c nn _ <br />�e�n� �escaianoN oF Pao.cnrv rs��ow eEioc; oa nnnn� roun cowes ii000?5�90 <br />ur�H «s n� <br />LOT _ B�OCN� OF <br />i��OJ^��� 1 <br />�o� noone:.� <br />PLUMBING <br />NO. TVPE Of F'::7URE OR I7EM <br />LAV�iORY <br />SHOWEP <br />KIiCHEN 5 <br />LAUNDFVTRAY <br />CLOTHES VlASNER <br />JRINAL <br />DFINKIN9 FOLINTAIN <br />FIOCRDRNN <br />BACKFLOW P�EVENTERS <br />HOOF ORAINS — RAINLEP <br />SINK (SERVICE — BnR. ET <br />FRONT SET9 �CK <br />USEZONE <br />il fE Oi CONSi00L110N Rll01V.11 <br />srzeoFe�oc <br />OCCUPNNCYLOAO <br />REASONFORSPRPMLEBS <br />SUBTOTPL 5 <br />PEflMIT S <br />TOTAL FEE 5 <br />REARSEtpFCH 5 <br />LOi qflE.� <br />ttPE OF CONSIPUQION nL1UAl <br />r+o or s�aa:Es <br />F'RE SVRINNLERS f1[OD <br />❑ YES ❑ NO <br />;,coozs�� <br />w00Q2539.= <br />MECHANICAL <br />FEE NO. TYPE OF EaVIP� <br />A�C — A: HN�LG UNI'i 5— HjP�i <br />FORCEO AIR $YSTEh15 — B.i!I%1 <br />UNRHEATERS—B.TL. �fO� <br />CLOTHES�RYEFS HF_'� <br />VENTILATION FAN CH <br />FANGEHO00 _ <br />IVATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE & CHIMNEY <br />FIREPLAC. INSERT <br />HEPT PUMP <br />GA$ PIVING <br />j E%HAUST FAN <br />SETOACe <br />C4NT SIiE <br />VES ❑ NO <br />o���;K� r�o o� m•awvc <br />on=_Eraer�r <br />❑ YES ❑ NO <br />HEIGNT LVnIiAT10N <br />❑v r��r�sna�noveuer CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />CHECKNUMBER <br />SUBTOTAL <br />PEflM1T <br />TOTAL FEE <br />FEE <br />_ FEES <br />BUILCINi; S <br />P�UMBING <br />MEC if.NICAL <br />OTHEP <br />STATE LWIL�ING SURCHARGE <br />ST4TEENERGYSURCHARGE <br />PU�LIC INOFKS <br />TOTAL <br />WHEN PROPERLY VALI <br />M EA. �SJ <br />tl <br />5 <br />5 <br />f:ECEIPT NO <br />THIS IS <br />PERMITS EX�IRE IF WORK IS NOT CUMfl1 =NCED WITHIN qpGiESS FlL� C� �i J��' ., <br />180 DAYS OR CEASES FOF MOHE Tii-".P! 180 DAYS. � <br />