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CITY OF EVERETT <br /> EVERETT Permit Services <br /> WASHINGTON <br /> Plan Check No.: B1912-013 <br /> Application Date: 12/9/2019 <br /> Tenant: CT ROOM 2 <br /> Owner: PROVIDENCE HEALTH &SERVICES- <br /> WASHINGTON <br /> Job Address: 1700 13TH ST <br /> Proposed Use: HOSPITAL <br /> Description of Work: TI REMODEL IN EXISTING CT ROOM 2 FOR <br /> INSTALL OF NEW SIEMENS <br /> Plan Check Fee Paid: $4200.24 <br /> The building permit application for the above-referenced project is being conditionally <br /> accepted for filing pending the determination of its completeness. <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 <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 <br /> additional information is required, your building permit application will be considered <br /> filed as of this date. Plan review fees are estimates. Final plan review fees will be <br /> calculated at permit issuance. <br /> BUILDING PERMIT APPLICATIONS EXPIRE IF NO PERMIT IS ISSUED <br /> WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICATION. <br /> 2::;j)? I Zig9A <br /> Signature Date <br /> FILE COPY <br /> O3200 Cedar Street © 425.257.8810 O everetteps@everettwa.gov <br /> Everett, WA 98201 425.257.8857 fax everettwa.gov/permits <br />