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i nc�6'rerxrecn � �ONSTRUCTIO� • <br /> � G7vOf <br /> everett PERMIT PERMIT NO. 14529 <br /> CITY HALL 259�87d5 <br /> EVERETf,1NA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ;d� PLUMBING <br /> OWNER MAILAOGRESS GIiY 21P PHONE <br /> Providence Hospital 916 Pac�fic Everett 98201 258-7123 <br /> A9GHITECT 0��DESIGNER MRIL FUDPE55 QTY 21P PNONE <br /> GENEflPL CONTRRGTOR MAIL ADpRESS ��T'/ 21P PNONE L�CENSE� <br /> New].and Construction P.O. Box 958 Everett 98206 259-9191 <br /> MEGdANICALCONTRAGTOR MAILADDRE55 GTY ZIP PUONE LICENSEI <br /> FWMB�NGGONTRAQUF MAILADDRE55 CITY :JP PMONE LICENSE/ <br /> CU55 OF WORK <br /> O NEW ❑ ADDITION �j ALTEe7A710N ❑REPA�R ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> V�LUATION OF WORK <br /> s 37,381.00 <br /> UESCH�BE WOPK <br /> Remodel First r^loor South <br /> PRO°OSED USE OF BUILDING <br /> Hospital I HEREBY CEFiTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICAl'ION AND KNOW THE SAME TO BE TRUE AND <br /> �EG4L DESGRIPTION OF PROPERTY�SNOW BELOW OR ATTACH FOUR COPIES) CORRECT. ALL PROVISION5 OF LAWS ARD ORDINANCES <br /> LOT_. !,LOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> NJHETHER SPECIFIEO HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUC710N. <br /> JOB�OOFESS SIGNATUqE OF CONTRRCTO OR AUt110RRED RGENT DATE <br /> 916 Paczfic j( ,,.... '> -"]- @,5 <br /> PLUMBINO MECMANICAL <br /> N0. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 2 WATERCLOSE7�TOILET) AIR COND.UNITS— H.P. EA. <br /> BATMTUB REFRIGERAiION UNI7S— H.P.EA. <br /> LAVATORI'(WASM BASIN) BOILER: — M.P.EA. <br /> 1 SMOWER GAS FIREO A.C.UNITS—TONNAGE EA. <br /> KITCMEN SINH 8 DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> �ISHWASHER WALL MEAlERS— B.T.U. M <br /> LAUNDRV TRAY UNII HEATERS— B.T.U. M <br /> CLOTHES WASHE(i EVAPORATIVE COOLERS <br /> WATER MEATER CLOTNES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DNAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS S70VE— WO00 <br /> POOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CMIMNEY <br /> 1 SINK ISERVICE— BAR,E7G) 2 00 FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB T0Tl1l f 10 00 SUB TOTAL f <br /> PENMIT S PEPMIT f <br /> TOTALFEE S ZO O TOTAL FEE f <br /> SIDE V4RD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBEII PLAN CHECK FEE <br /> N/A N/A N A 85/14579 FEE 148.85 RECEIPT NO. <br /> USE ZO�IE LOT AREA VACANT SITE <br /> R-4 � .VES XXIO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GNOUP NO.OF DWELLING UNITS <br /> I-FR 2-1 0 <br /> SIZE OF BLDG. N7.OF STORIES MA%.OCC.LOAD eUILDING $37,381. 229 00 <br /> td/A N/A N/A PLUMBING lp 0 <br /> FIREZONE BASENiNT PIRE SPRINKLERS MECHANICAL <br /> (� UIRED <br /> None X 'ES � .NO <br /> APPROVALS BY OATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST pENAL7Y U.B C. <br /> SEC.3031a1 <br /> 2.9UILDINGPLANS 239 �� <br /> 3.FIRE HVDRANT TOTAL <br /> 4.FIRE PROTECTION SYSTEM PERMIT VIILIDIITION <br /> WHEN PROPERLV VA�IOATED pN THIS SPACE)TH16 IS VOeH PEqM1T � <br /> 5.GRADIN(a ! . ' / i. . -"— N <br /> 8.ORAINAGE <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � I f � _.--. - � <br /> 8.MEALTH DISTRICT � � � i : � �� <br /> APPLICA710N ACC. BY PlANS CHECKED BY APPR.FORISSUANCEBY � ' <br /> EB HWM LC ' . ' � � <br /> , , i <br /> ADDRE55 FILE <br />