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��° � C 1NSTRUCTION � '' <br /> , everett PERMIT PERMITNQ 19347 <br /> 259 -8745 <br /> ❑ OEMOLITION ❑ COMBINATION ;p BUILDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br /> ��EA MRII ADpRESS CITY Z�p �pry� <br /> Pruvidence Hospital P.O. Box 1067 Everett, WA 98206 (206) 758-7914 <br /> ARCHITECTORDESiGNER MRI�ADDRESS Glh' 21P R10NE <br /> Yx Botesch, Nash & Hall 4602 Hoyt Ave Everett, WA 98203 259-0868 <br /> GENERAL CONTRAGTOR NAII qDDRE55 CITY 21P MONE 4CENSE� <br /> Newland Construction P.O. Sox 958 Everett, WA 98206 259-9191 NEWLAC343L0 <br /> MECH�NICRLCONiR�CTOR M�ILADORESS CITV ilP PNONE UGENSE• <br /> Glantz Supply, inc. 3332 Cedar St. F.verett, WA 98201 252-2442 <br /> RUMBING CONTA�CTOH MRIL RDORE55 GTY ZIP PNONE LICENSE• <br /> Glantz Supply, Inc. <br /> CLASSOF WORK <br /> O NEW ❑ ADDITION I� ALTERATION ❑ pEPAIH ❑ DEMOLITION ❑ sU1LDING RELOCATION <br /> VMWTION Of Wpqk <br /> S 45���� <br /> DESGPIBE WORK . <br /> Remodel Rad/Fluor Room <br /> ME�TSOURCE <br /> O ELECTqICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> vnovo�o use or euaowc <br /> Hospital I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> IEGALDESCRIP710NOFPROPENTY�SHOWBELOWORFTTACHFOURCOf'IES� APPLICATION AND KNOW THE SAME TO BE TfiUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_e�oc� _ or GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WITH <br /> WIIETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> � VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADORE55 SiGN OF CONTqACT ,RUMORIZEU AGENT.OR OV�TIEN �TE <br /> 916 Pacific Ave. RAD FLOOR ROOM �_ _ _ � < � � �e�J <br /> KUM/ING MECHANICAL <br /> M0. T1TE OF flIITUpE OR IiEM FEE NO. TYPE OP EOUIPMENT � <br /> WATER CLOSET�TOILET� A;C—A/NNDLG UNITS—HP. <br /> BATMTU6 REFRIGERATION UNITS—HP.EA. <br /> UVATORY�WASH BASIN) BOIL[FS—BS.0 M.P. <br /> SHOWEH GAS FIRED A�C.UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP FORCED AIR SYSTEMS—B T.U. M EA. <br /> DISHWASMER WALLHEATERS—B.T.U. M <br /> LAUNDRY TqpY UNIT HEATERS—B.T.U. M <br /> CLOTHES W�SNER EVAPORATNE COOLERS <br /> UNIN�L CIOTNESORYERS <br /> DRINKINO FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> B�CNFLOW PREVENTEPS WATEH HEATER • <br /> ROOF DRRIN5—RAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAR,ETCJ METAL FIREPLACE 6 CNIMNEY <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> iUe TOTAI f BU!TOTAL <br /> ��Mn i PERMIT <br /> TOTAL FEE ! TOT11L FEE <br /> FRONi SETB�CK REnq SErBncK SioE SEiBncK pLAN CMECN NUMBER FEE RECEIPT NO <br /> NA NA NA 87/19347 284.30 93909 <br /> USE20NE �piqRER <br /> NA V/GANT SITE <br /> NA ❑ves prvo FEES VALUATON - REE <br /> TYPEOFCONST. OCCUPANGVGROUP NOOFOWEILINGUNrtS BUILDING E 4S�OOO 346 00 <br /> I - FR i - 1 0 <br /> PLUMFING <br /> SIZE OF BLDG NO OF STORiES MR% OCC LORp <br /> NA NA Np MECHANICAL <br /> INVESTIGATION FEE SeG 304�e) <br /> fIRE SPRINKLERS REOUIHED 9 YES ❑NO <br /> STATE BUILDING SURCI1ApuE 3 50 <br /> STATEENERGVSURCHARGE <br /> APPLiCATiONA��BV PIANSCMECKED�V APPRFORISSUINCEBY <br /> M.M. Be Be ORIVEWAYPERMIT <br /> TOTAL 349 50 <br /> OEHM{T VALIDATON <br /> SEPARATE PERMITS REQUIFED FOR PLUMBING, �'MeN PROPERD VALIDATED pN TNIS SPACE�TH1515 YOUR PERMIT <br /> i�CE:ANICAL AND ELECTRICAL � <br /> �' <br /> �� <br /> C� <br /> � <br /> �.i.;�:�f �5 f I, [ <br />