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IheEcer,�rcen � �pNSTRUCTlO� • <br /> Ci7vOF � <br /> everett PER�IIIT PERMIT NO. 1�J214 <br /> CITV HALL 259�B7d5 <br /> EVERETT,WA 98207 ❑ COMBINATION Cx BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEF MAIL FUOFE55 CITY ZIP PMONE <br /> PROVIDENCE HOSPIThL 9 6 arr ziv PHONE <br /> FHCMITEGT OR OESIGNER MAIL ADDRESS <br /> HOTESCH NASH " HALL 4206 HOYT E� �SQ �a�Q <br /> GENERAL LONTR�GTOH MAIL ADDRE55 QTY 21P PMONE UCENSE� <br /> NESQLAND COI7STRUCTION <br /> MECMANIGA�fONTR�CTOP MM�AUDRE55 CITY ZIP PMONE LILENSE� <br /> VIUMBING CONTRAGTOR MAIL AODRESS CITV 21P PHONE LIGENSE• <br /> CUSS OF WORN <br /> O NEW ❑ P.DDITION ❑ ALT�_RATION ❑REPAIFl [] DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> n <br /> VAlUAT10N OF WORK <br /> S <br /> DESCRIBE WORK <br /> Remove nonbearing walls, car et, ceilin and repare for new construction — <br /> PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE REAG AND EXAMINED THIS <br /> Radiology Lab i1PPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL OESGRIPTION OF PROPERTY(SMOW BELOW OR ATTACH FO'_�R GOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_OLOGK_OF WHETHER SPECIFIED 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 STPTE OR <br /> � LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERfORMANCE OF CONSTRUCTION. <br /> JOB ADDPESS SIGNATURE OF LON AUTHORRED�GENT DATE <br /> �16 Pacific lst Floor x ` �! <br /> PLUMBINfi CHA CAL <br /> N0. TYPE OF FIXTURE OR ITEM F�E NO. TYPE OF EQUIPME FEE <br /> WATEtiCLOSETITOILEn AIR COND.UNITS—H.P. EA. <br /> BAiHTUB REFRICEFATION UNITS — H.P. EA. <br /> LAVATORV�WASH BASIN� BOILERS— M.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE [A. <br /> KITCMEN SINK&DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> DISMWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRY TRAY UNIT MEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLEPS <br /> WATER HEATER CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN HANGE HOOD <br /> FLOOR DRAIN AIR HANOLING UNIT — C.F.M. <br /> VACUUM BREAKERS S70VE —U'OOD <br /> ROOF DRAINS— RAINLEAOERS METAL FIREPLACE d CHIMNEV <br /> SINK(SERVICE— BAR. ETC.� FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTIIL f SUB T0T11L f <br /> PERMIT f PERMIT � <br /> 70TAL FEE f TOTAL FEE f <br /> PLAN CHECK FF.E <br /> S�DE VARD SETBACK STREET SETBACK (iEAR YARD SETBACK PLAN GHECK NUMBER qECEIPT N0. <br /> FEE <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> ".VES �--.NO — <br /> TYPE OF GONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 00 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEIAEN7 q�EOUIRED KLERS MECHANICAL <br /> ; .��5 . ..NO <br /> OTH[R <br /> APPHOVALS BY DATE _ <br /> LLB.C. <br /> 1.ENVIFONMENTAL CHECK L15T PENALTY SEC.3031a) _ <br /> 2.BUILDINGPLANS TOTAL 00 O <br /> 3.FIRE HVDRANT <br /> 4.FIRE PROTECTION SYSTEM PERMIT YALIDATION —� <br /> WHEN PROPERLY VALIDATED(1N THIS SPACE)THIS IS YGUF�,PERMIT <br /> S.GRADING � � <br /> 6.DRAINAGE � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> B.HEALTM DISTF,CT . � � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOHISSUANCE BY <br /> 1C <br /> ADDRESS FILE <br />