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10/31/2019 City of Everett Page 1 <br /> 9:11:29AM <br /> INSPECTION ACTIVITY REPORT <br /> Permit No. P1907-002 Site Address 1700 13TH ST 2ND FL <br /> Applied 7/9/2019 Applicant WALLAGE AUDIE Lot <br /> Approved 7/9/2019 Owner PROVIDENCE HEALTH&SERVICES-WASHINGTC Block <br /> Issued 7/9/2019 Contractor MCKINSTRY CO LLC Tract <br /> Parent Permit No. B1904-036 Description MEDICAL GAS&PLUMBING SERVING PRE-OP ROOMS&O] <br /> Notes <br /> Scheduled Comnleted Tvne Inspector Result Remarks Inspector's Comments <br /> 8/5/2019 8/5/2019 PLUMB SDP APPROVAL eTRAKiT Inspection 7/31/2019 7:38 AM David Erickson <br /> 03-ROUGH IN Request Wall Cover Inspection for Pre-Op Space <br /> Contact Name:Roy Haegeland <br /> Site Address:1700 13TH ST 2ND FL <br /> Phone:2062555310 <br /> e-Mail:davider@mckinstry.com <br /> (8/5/2019 12:57 PM SDP) <br /> For Pre operation area: <br /> 1)Plumbing rough ok <br /> 2)Med gas ok...oxygen and vacuum <br /> 8/19/2019 8/19/2019 PLUMB SDP PARTIAL APPR med gas 8/9/2019 3:02 PM David Erickson <br /> 03-ROUGH IN Wall cover inspection of OR Suite <br /> Contact Name:Roy Haegeland <br /> Site Address: 1700 13TH ST 2ND FL <br /> Phone:2062555310 <br /> e-Mail:davider@mckinstry.com <br /> (8/19/2019 2:58 PM SDP) <br /> Medical gas mains for operating rooms and <br /> service to OR#10 are tested at 150#. <br /> Note:Pipe labels are required before cover. <br /> 8/29/2019 8/29/2019 PLUMB SDP APPROVAL med gas and 8/28/2019 10:03 AM David Erickson <br /> 03-ROUGH IN plumbing Rough-In Wall cover inspection for OR-11 <br /> and 12 <br /> Contact Name:Roy Haegeland <br /> Site Address: 1700 13TH ST 2ND FL <br /> Phone:2062555310 <br /> e-Mail:davider@mckinstry.com <br /> (8/29/2019 2:55 PM SDP) <br /> 1)pipe labels-ok <br /> 2)All med gases tested at 150# <br /> 3)Rough in med gas-ok <br /> 4)Rough in plumbing-ok <br /> 10/30/2019 10/30/2019 ADMIN USE KLC APPROVAL <br /> ONLY** <br /> 10/30/2019 10/30/2019 PLUMB 06-FINAL SDP APPRVD-PERF eTRAKiT Inspection 10/24/2019 2:27 PM David Erickson <br /> Request <br /> Contact Name:Roy Haegeland <br /> Site Address: 1700 13TH ST 2ND FL <br /> Phone:2062555310 <br /> e-Mail:davider@mckinstry.com <br /> INSP12 <br />