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916 PACIFIC AVE 1ST FLOOR 2018-01-01 MF Import
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916 PACIFIC AVE 1ST FLOOR 2018-01-01 MF Import
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Last modified
4/24/2019 12:17:36 PM
Creation date
2/25/2017 8:30:27 AM
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Address Document
Street Name
PACIFIC AVE
Street Number
916
Tenant Name
1ST FLOOR
Imported From Microfiche
Yes
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everett PERMIT pERMIT NO. 07461 <br /> CITV HAIL 259�87<5 � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING . <br /> EVERETT,WA 98207 <br /> OWNER <br /> MAIL/.DDRE55 GItY 21V PNONE <br /> PROVIDENCE HOSPITAL 916 Pacific Everett 98201 258-7414 <br /> ARGHRECT OR DESIGNER MAIL/•DDRE55 CITY 2�o MONE <br /> Walt Saline <br /> Same Same <br /> GENERAL CANTRAGiOR MAIL ADDRESS C�Tv 21P GMONE UCENSE� <br /> K-Four Construction 11028 - 34th Dc . SE Eveiett 98204 3NONE_0677��ENSE• <br /> M[CMANiGI CONTRALTOR MAIL AODRE55 ��TY Z�P <br /> Desi n Air 3450 S. 148th Seattle 98168 403-9030`�NSE. <br /> VLUMBING CANTRAGIOR MAII ADDRE55 <br /> CU55 Oi WMiK <br /> ❑N�W ❑ADDITION �ALTERATION ❑REPA�R ❑DEMOLITION CFENCE ❑SIGN GARAGE <br /> VALUATAN OF Y�'.dH <br /> s LO 0�� <br /> OESGRIBE WORk <br /> Rearran e internal walls to accommodate li ic a <br /> PROPOS[D USE OF BNIDING <br /> Doctor' S Of f 1C0S I HEREBY CERTIFY THAT I HAVE REAG AND EXAMINED THI - <br /> iccn�oescnirrior+ormoPentvisHawec�owoannncNFouncoaics� PLICATION AND KNOW THE SAME TO BE TRUE AND CARRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> iar25F 2fw�oc�713�F TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESU ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCc OF CONSTRUCTION. <br /> SiuNATU�E, NTRI� 0 AIZED AGENT �ATE <br /> JOB I.DOAE55 � <br /> X <br /> MECHANICAL ' <br /> PLUMlINO FEE <br /> N0. TYPE OF FI%TURE OR ITEM FEE HO. TYPE OF EOUIPMENT <br /> qIR COND.UNI15—H P.EA. - <br /> WATER GLOSET(TOILET) <br /> qEFRIGEPAT�ON UNITS—HP.EA <br /> BATNTUO BOIlEFS—NP.EA. <br /> LAVATORY(WASH BASIN) <br /> GAS FlRED AL.UNIiS—TONNAGE EA. <br /> SHOWER FOACFD AIR SYSTEMS—B.T.U. N EA. <br /> KITCMEN SINK 8 DISP. M <br /> WALL HEATERS—B7 U. — <br /> DISMWASHER M <br /> UNIT HEATERS—8 T.U. <br /> LNUNDRYTRAV <br /> EVA4'ORATNECOOLERS <br /> CLOTNES WASHER CLOTHLS ORVERS <br /> WATER MEATER <br /> VENTILAiION FAN <br /> URINAL RANGE HOOD <br /> DRINKING FOUNTAIN CF.M. <br /> AIF HANDLING UNIT— <br /> F�OOR DRAM STOVE <br /> VACUUM BREAKERS <br /> ME1AL FIREPLACE 8 CNIMNEY <br /> NOOF DRPINS—�AINLEADERS <br /> �SINK(SERVICE—BAR.ETC� <br /> --1 <br /> SUBTOTAL f <br /> SUB TOTAL pERMIT f <br /> PERMIT f TOTALFEE f � OO <br /> TOTAL FEE f pLAN CHECK FEE <br /> SIDE�ARD SETBACK STRCET SETOACK I7EAR YARD SETBACK PLAN CHLCK NUMBER FCE EIPT N0. � <br /> � <br /> USE ZONE LOT ARFJ+ VACANT SITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TVPE OF CANST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> OUILDING �1S ,OOO . O H4 OO <br /> SIZE OF BL�G. N0.OF STOFIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEM[NT FIRE SPRINKLERS MECHAYICAL <br /> PEOUIRED <br /> [7VES I-7N0 <br /> AFPROVALS �� <br /> � BY DATE OTHER - <br /> PENALTV U 0 C <br /> 7, ENV�RONMENTAL CHECN LIST SEC.303(a) <br /> 2. BUILDINGPLANS � � TOTAL 91 O� <br /> 3. FIRE HYDRANT � , <br /> PERMIT VALIDATION <br /> 4. FIRE PPOTEyTION SYf�M WHEN PROPERLY VALIDATED(IN TMIS SPACE)THIS IS VOUR PERMIT <br /> s cAAoiNc<< This permit is fa(rp ygrk p $ 4. 0 Q — ip <br /> � a oaniN0.c�= 6'+ first iloor . No work sh�ll � <br /> � 7 eNwaor+r�+TA�iM�rsrnrer.+eNr be permltted on second floor, ti <br /> 8. HEAI�ND�9�RICT ." YO J�R (�E;CGlFT O <br /> � pPPL�CRTIOt(�-BY PLANS CHECKED�Y APPR.FOF�SSUNNCE BY . � <br /> � C) m K.C. K:•C�, _ TC1l,'�!`!i� •1'',�"Jd1 _ <br /> � .� : ; <br /> �' ADDRESS FILE � � ���� G� <br />
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