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1/28/2020 City of Everett Page I <br /> 9:06:37AM <br /> INSPECTION ACTIVITY REPORT <br /> Permit No. M2001-055 Site Address 12800 19TH AVE SE#201 <br /> Applied 1/21/2020 Applicant Lot <br /> Approved 1/21/2020 Owner PROVIDENCE HEALTH&SERVICES Block <br /> Issued 1/21/2020 Contractor HARRIS PACIFIC NORTHWEST LLC Tract <br /> Parent Permit No. B1905-035 Description ADD 4 ZONE VALVES <br /> Notes OTHER=MEDICAL GAS <br /> Scheduled Completed Type Inspector Result Remarks Inspector's Comments <br /> 1/27/2020 1/27/2020 MECH 06-FINAL SDP APPRVD-PERK Tye:360-305-8888 <br /> (1/24/2020 8:26 AM SDP) <br /> Conversation on the phone with the <br /> contractor.They were emailed affidavits for <br /> the medical gas pressure testing due to the <br /> need to get the system back on line. <br /> (1/27/2020 1:25 PM SDP) <br /> 1)We received the affidavits for the <br /> pressure testing(attached) <br /> 2)Received the third party test reports <br /> (attached) <br /> 3)visual inspection is approved for final. <br /> 1/27/2020 1/27/2020 ADMIN USE HPC APPROVAL <br /> ONLY** <br /> INSP12 <br />