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um. CITY OF EVERETT <br /> EVERETT Permit Services <br /> WASHINGTON <br /> Plan Check No.: B1912-025 <br /> Application Date: 12/19/2019 <br /> Tenant: PROVIDENCE CT ROOM 1 <br /> Owner: PROVIDENCE HEALTH &SERVICES- <br /> WASHINGTON <br /> Job Address: 1700 13TH ST CT RM 1 <br /> Proposed Use: HOSPITAL <br /> Description of Work: TI REMODEL IN EXISTING CT ROOM 1 FOR <br /> INSTALL OF RELOCATED GE <br /> Plan Check Fee Paid: $2101.94 <br /> The building permit application for the above-referenced project is being conditionally `-- � a <br /> —a e <br /> accepted for filing pending the determination of its completeness. (7 Fi` <br /> rn <br /> If the City review determines that any additional land use approval or any additional <br /> information is required to complete your building permit application, it will be necessary 'crl •.:� <br /> to submit this additional information or acquire the additional land use approval prior to '• <br /> your application being considered complete for filing. If no other land use approval or 'u <br /> additional information is required, your <br /> qbuilding permit application will be considerec --4 <br /> filed as of this date. Plan review fees are estimates. Final plan review fees will <br /> calculated at permit issuance. ;_ %L;e <br /> BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUED <br /> WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICATION. <br /> 12. • !4%7 - I� <br /> Signature Date <br /> ALE COPY <br /> O3200 Cedar Street 0 425.257.8810 � everetteps@everettwa.gov <br /> Everett,WA 98201 425.257.8857 fax `"� everettwa.gov/permits <br />