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�..1 d�r E��erc�ren _ ✓O�V�����I O� � <br /> e�erett PERMIT PERMIT NO. 135HH <br /> CItY MALL 259�B7a5 <br /> }� EVERETT.Wpyg zo+'' n COMBINATION � BUILDING .C�j� MECHANICAL C� PLUMBING <br /> y U `] 'i 'J �� 3 '*' <br /> MAIL PDOAE55 GITY 21P PMGNE <br /> pWNEA <br /> Providence Hospital 916 Pncific Everett 98206 258-7914 <br /> RRCN�TECT OR DESiGNER <br /> MRIL/•ODRE55 GrtY 21P CHGYE <br /> GENEAALCANTflPCTOR <br /> MAIL ADDPE$$ CITY Z1P PHONE LIGLNSE� <br /> Newland Construction Co. Inc. P.O. Box 958 Everett 98206 259-9191 <br /> MEGM�NIGALGONINAC70R <br /> !/AIL ADOP.ESS LITV ZIP PMONE ULENSE• <br /> P�UMBING GONTRACTOR <br /> MAIL ADDRE55 GITY I�P PMONE LILENSE Y <br /> GLA55Of WORK <br /> ❑NEW ❑ ADDITION XS ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ VlOOD STO�FIFIREPLACE INS . <br /> VRLU�TiON OF WORK <br /> S 35�10��.�� <br /> DESCRIBE 4YORK <br /> Remodel Radiolo De a <br /> PROPOSED USE OF BU�IDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH�S <br /> Hospital qppLICA710N AND KNOW THE SAME TO BE TRUE AND <br /> �eca�oescaiv*ioHoranoreRrv�sMowec�owcannncHFouncories� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERN�NG THIS TYFE OF WORK WILL BE COMPLIED WITH <br /> LO7_BLOGK__OF WHETHER SPECIFIED FiEREIN OR NOT. "fHE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE CR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> — SiGNPTURE OF CONTRACIUR OR AUiHOP12i0 AGENT 04TE <br /> JOB ApDRE55 7 � <br /> 916 Pacific Avenne X <br /> PLUMBING MECHANICIIL <br /> NO. TYPE QF FI%TURE OR ITEM FEE NO. TYPE Of EOU1?MENT FEE <br /> 2 WATERCLOSET�TOILET) AIR COND.UNITS- H P. EA. <br /> — REFRIGERATION Uf:ITS - M.P.EA. <br /> gATHTUO <br /> � �AVATORY(WRSH BASIN) BOILERS- H.R EA. _ <br /> GAS FIRED AA. UNITS - iONNAGE EA. <br /> SHOWER <br /> KITCNEN SINI(8 DISP. FORCED AIR SVSTEMS- B T.0 M EA. <br /> - WALL HEATERS- B T.U. M <br /> DISHWASHER <br /> - UNIT NE47ER5- B.T.U. N _ <br /> LAUNDRYTHAV <br /> CLOTNES WASHER EVAPORATIVE COOLERS _�__ <br /> WplER NEATER CLOTHES DRVERS __ <br /> - VENTILATION FAN _ II- <br /> URINAL <br /> DRINKING FOUNTAIN RANGE HOOD <br /> � AIR HANOLING UNIT - C.F.M. <br /> Z FLOOR DRAIN <br /> VACUUM BREAKERS STOVE - WOOD � <br /> ROOF DRAINS- RA�NLEADEHS METAL FlREPLACE 8 CHtMNEY <br /> SINK(SEPVICE - BAR, ETC.) FIREPLACE INSERT �[,' <br /> 3 MEhT PUMP ;'• <br /> 54I8 tOTAL S 4 SO <br /> SUB TOTPL f � y F, <br /> PF.RMIT f _ PERMIT <br /> TOTRL FEE f TO7AL fEE 3 '-' ' <br /> P�AN CMECK FEE N � <br /> SiDE YARD SETBACK STREET SEiBACK REAR YARD SETAl+I.K PLA1J CHELK WUMBEP FEE EB�,�(1 FECEiPT NO � <br /> 84/13588 7C705 _ � <br /> USE ZONE LOT AREA VAGANT SITE FEES VALUATION FEE � <br /> .YES . .NO — -- — � �. <br /> TVPE OF CON57. OGCUPANLY GROUP NO.OF DWELLING UNITS ___.— y" ; <br /> i'1 � B�JILDINO = 350,000. 1058 00 � � <br /> SIZE OF BLOG. NO.OF STORIES MAX.000. LOAD p�U�A81NG ZB OO � , <br /> 1 Unchanged _ _ � � � <br /> RRE ZONE OASEMENT FlFE SPRINKLERS 4 SO � � <br /> REOUIRED MEGHANIGAL � ' <br /> yC5 YES NO <br /> BY DATE �THER O '� <br /> APPROVALS __ L18C � <br /> LENVIRONMENTALCHECKLIST PENAIiY SEC.3031a� � <br /> 2.BUILDING PLANS � IOBO SO � ' � <br /> TOTAL p ' <br /> 3.FIRE HVDRANT .- ['� : <br /> 4.FIFE PROTECTION SYSTEM PERMIT VPLIDATION <br /> WHEN PROPERLY VALIDATED�P1 THI'i SPACE�THISMIS�YQU�'P��IT— �� � . <br /> S.GRAOING � 7 �•��� <br /> 6.DRAINAGE �n � � <br /> � `/.ENVIRONMENTALIMPACT6TATEMENT �� � � <br /> i <br /> 8.MEALTH DISTPICT -- . �. I','I� � <br /> APPLICATION ACC.BY � � PLANS CNEG`(GD BY APPR.FOR ISSUANCE BY , <br /> , .� eb J�F I,C '. ' i' <br /> I 1 . <br /> � <br /> . /.1;C'r;(�`� . . _ <br />