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thrEczrqrern � �ONSTRUCTIO� <br /> CiiY OF � <br /> everett PERMIT PERMIT N0. 15HO9 <br /> GTY Ha�L 259�8�.5 <br /> E`/ERET7,WA 9c�207 ❑ COMBINATION I� BUILQING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEfi MAILAO�RE55 CITY ZIP PMONE <br /> Providence Hospital P.O. Box 1067 Everett 98206 258-7414 <br /> AqCMITEGT OR DESIGNER M1'A�L ADDRESS CITY ZIP VNONE <br /> GEtlERPLGONTRAGTOR MAILADONE55 QTY IIP PHONE LICENSE� <br /> Newland Construction P.O. Box 958 Everet-L• 98206 259-9191 <br /> MECMFNICALGONTRAGTOR MRILAOORE55 CITY ZIP PNUNE LICENSE� <br /> PLUMBING CANTPACTOR MAIL ADDRE55 C�TY 21P PHONE LILENSE I <br /> CLA55 OF WORK <br /> ❑ NEW � AODITION �ALTERATION ❑REPAIR O OEMOLI7IGN G FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> V�lUAT10N OF WORK <br /> f 35,000.00 <br /> OESGRIBE WORK <br /> Loby remodel lst floor <br /> PROPOSED USE OF BUIl01NG <br /> Hospital I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEORL DESCRIPTION OF PROPEflTY�SMOW BELOW OR ATTACH FOUR COPI[5� CORRECT. ALL PROVISInNS OF LAWS AND ORDINANCES <br /> GOVEFNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCI(_OF WHETHER S�ECIFIED 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 /> PERFORMA OF CONSTR TION. <br /> JOB RDDRE55 SIGNATURE 0 RACTOR OR N .4GENT DAT <br /> 916 Pacific X <br /> PLUMBIN6 MECMANI _ <br /> N0. TYPE OF FI%TUPE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOI�En AIR COND.UNITS—H.P.EA. <br /> BpTH�UB REFRIGERATION UNITS— H.P.EA. <br /> LAVATORY(vYASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C.UNI7S—TONNAGE EA. <br /> KITCMEN SINK 8 DISP. FORCED AIR SYS7EMS— B.T.U. M EA_ <br /> DISHWASH[R WALL HEATERS— B.7.U. M <br /> LAUNDRY7RAY UNI7 4EATERS— B.T.U. M <br /> l:IOiMES WASHER EVAPORATIVE COOLERS <br /> WATER MEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR MANDLING UNIT— C.F.M. <br /> VACUUM BHEANERS STCVE —WO00 <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE&CMIMNEY <br /> SINK(SERVICE— BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> Duct Work 4 50 <br /> SUB TOTAI f SUB TOTAL f Q 50 <br /> PfRMIT f PERMIT = <br /> TOTAL FEE f TOTALFEE S 4 50 <br /> SIDE YAfiD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHEGK NUMBER PI.nN GHECK fEE <br /> N�A N�A N�A FEE RECEIPT NO. <br /> 85/15809 140.08 <br /> USE ZONE LOT AREA VACANT SI7E FEES l'ALUATIOM E <br /> R-3 N/A �.;YES .XrYO _ <br /> TYFE OF CONST. OCCUPANCY GROUP NO.OF�WELLING UIJITS _ _ <br /> I-FR I-1 O BUILDING a35,00C. 215 50 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. IOAD <br /> N/A N/A N/A PLUMBING — <br /> FIRE�JNE BnSEMENT FIRE SPRINKLERS MECHANICAL 4 SO <br /> REOUIRED <br /> -.XSES :�.td0 <br /> APPROVALS BY �ATE OTNER <br /> 1.ENVIRONMENTAL CHECK US7 PENALTI' U.B.C. <br /> SEC.3031a1 <br /> 2.BUILDING PLANS — TQT�� 220 00 <br /> 3.FIREHY�RANT " <br /> d.FIRE PROTECTION SYSTEM PERMIT VAIIDRTION <br /> ;,SSGRADING � WMEN PROPERLY VALIDATED(IN iHl$$PlC��I THIStIS�YOUl�P�RNIT Qf <br /> / I b ( I J � � <br /> �fiDRAINAGE � � '� U_" <br /> �.7,ENVIRONMENTAIIMPA TATEMENT U.� <br /> cEi MEALiHA15TRICT ,� ' , . �, . .. i-. ,� C c i <br /> tAPP11CATIOJJ ACC.BY J�LANS CHECKED BY APPF.FOP ISSUANCE BY .. . , � <br /> "' -� � � o JEF . . �i ��. . <br /> � � <br /> r_1 =� 88R8 <br /> - � � _C � 7 <br /> � � <br /> ADDRESS FILE <br />