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CO�TRUCTION �TY OF EVERETT <br /> E rr PERMIT PERMIT SERVICES <br /> 3200 CEDAR STRE�T EVERETT,WA 98201 <br /> (425)257-8810 <br /> Inspection Line: (425)2�7-8881 <br /> PERMIT NUMBER: B1312-023 °ATE �2 — �-C� <br /> MGCHANICAL EQUIPMENT <br /> Jos�nDREss: 12800 19TH AVE SE <br /> ^NN 2g053000407201 LOCATION: <br /> o�vNt:H PROVIDENCE I IEALTH CnRT CTR n:Nnnr PRMC <br /> 12800[30"I'HELI. GVER�1'"I'HWY <br /> �VERI�I"I' WA 98208-664 <br /> PHONr: 4252�87812 riioNe <br /> corrrK,: OWNP,R uesckn>noN or woar:: <br /> '1'1 -PRMC OUfPnT11=.NT I:XnM ROOMS <br /> PHONI <br /> LENDI:R: <br /> USE ZONG�. HT LIMIT NO.UNITS LO"f SIZE PLnNNING NO�. <br /> C-� <br /> FRSET➢ACR RRSETBACK SIDESETBACK SIDHSHIBACI: GARAG6(SF) BUILUING(SF) <br /> OCC GROUP�. OCC LOAU�. NO.STORIES�. BASEMENT�. REMODfL/I'I(SF) <br /> B 21 2 NO 1817 <br /> TYPEOFCONSTR: USEOFBUILUINC. HGAT"P1PG PLANSAPPRBY: <br /> II-A CLINIC SM <br /> SPRMI�LI:R R�(7D'. HGASON�. PERMIT VALUATION�. <br /> PLUMI3I NG.��UIP�Ft$: <br /> YES GXISTING 7�,000 ���=���° �:����:� <br /> ,: <br /> __ <br /> �,,,::::; <br /> �:,,�„r <br /> FIRG ALARM RFQ'U: IiL;ASON'. PUI3LIC WORKS P1=12MIT .. , „ <br /> �,�i::,y....�f.:.i':)�J^'. _ <br /> vrs rx�sTiNc � ,�,_ -' <br /> _ — _.:;_ <br /> FEES: <br /> . ��:=�i::: <br /> _:, <br /> L3asic Construction Pcrmit Pcc $818.75 ;' �==' <br /> Plan Chcck Fce $�32.19 , �,!;, <br /> ;;i.;; <br /> State Building Code Surcharge $4.50 �;:;i ;�.;� <br /> i - <br /> i - <br /> ..� . .Ear�. i-�-a <br /> iJ.i . <br /> :�;i"t i._._� <br /> �it�'�..�..:". _-. <br /> �a.l <br /> .._,{�,y� ..�..I _�.j _I,1 <br /> I' <br /> :._.�.�:.:�'I <br /> TOTr1L FEE 51,3�5.4�1 <br /> TOTAL FEES PAID $532.19 <br /> TOTAL FEE $823.25 <br /> aEMnaKs <br /> Cin�ol'Cvcmu I,ocnlSalcs'I:a Codc is <br /> Pcrmits expire it'work not commenced��ithin 180 days or ceases more th�n 180 days. ip5 <br /> 7'he City of t�;verctt is not responsihle to revicw the applicability of plat covenants to this permiL Compliance with plat pERMIT NO: <br /> covenants is thc solc responsibility of the applicant\owner. <br /> B1312-023 <br /> ADDR[:SS PILi:COPY <br />