Laserfiche WebLink
�� � �'7NSTRUCTION ^� � <br /> CITV OF <br /> everett PERMIT �RM,TNQ::19177 <br /> 259 -8745 . <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILOING f] MECHANICAL ❑ PLUMBING ❑ S16N <br /> OWNER MAlLA00RE55 �ITV ZiP PIIONE <br /> Providence Hospital 916 Pacific Ave Everett, WA 98201 <br /> �RCNItECT OF�ESIGNER MRIL ADDRE55 dTY ZiP PHONE <br /> GENEN�LCONTR�CTOR M�RAOORE55 �ITY zIP MONE LICENSE� <br /> Newland Const. P.O. Box 958 Everett, WA 98206 259-9191 <br /> MECHANICAL CONTq�CTOR MnIL t.00FE5S CITV iiP MONE LILENSE• <br /> Everett Sheet Metal P.O. Box 2557 Everett, WA 98203 252-Y434 EVERESM161DE <br /> RUMBING CONTP�LTOP MRIL ADORE55 CiTY 21P {MIONE LIGENSE• <br /> CLASS OF WOi1N <br /> ❑NEW ❑ ADOITON ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑SUILDIN6 RELOCATON <br /> V�WATION OF WOfiN <br /> � <br /> DESCRIBE WORK <br /> Inetall exhaust fan and ductwork for mixinq boxes in laboratory area. <br /> MEATSpUHLE <br /> ❑ ELECT111qTY ❑ QAS ❑ WOODBTOVE ❑ OTHER <br /> PNOPOSED USE OF BUIIDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEG�lDESCRIPT10NOFPROPERTY�SHOWBELOWORATTRCNFOUPCOPIES� CORRECT. ALL PROVISIONS OF LPWS AND ORDINANCES <br /> �or_e�ocK _oF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br /> VIOLAiE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB�DORE55 SIGNAT' OF CONTRACT IIEO AGENT.ON ONTIEA ORTE <br /> X ///7-8Z <br /> PLUAASING MECHANICAL <br /> NO. T1'PE OF FlIRURE OR ITEM FEE NO. TYPE OF EOUIPMENT fEE <br /> WATER CLOSET(TOILET� A/C—A/HNDLG UNITS—H P. <br /> BATHTUB REFFIGERATION UNITS—NP.EA. <br /> LAVATORY(WASH BASIN� BOI!ERS—8 TL iMF. <br /> SMOWER GAS FIRED A C.UNITS—B.T U. <br /> KITCNEN SINK 8 DISP. FORGED AIR SVSTEMS—87.U. M EA. <br /> DISHW�SMLR WALL NEATERS—97.U. M <br /> LAUNDRY TRAY UNIT HEATERS—BS.0 M <br /> CLOTHES WASMEF EVAPORATIVE COOLERS <br /> URINAL CLOTHESDRYERS <br /> DRINNING FOUNTA�N VENTILATION fAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACNfLOW PREVENTERS WATER HFATER � <br /> ROOF ORAINS—RAINLEADERS WOOD STnVE <br /> SINK(SERVICE—BAR.ETC.) METAL FIREPLACE A CNIMNEV <br /> FIREPLACEINSERT <br /> NEATPUMP <br /> GAS PIPING <br /> EXHAUSTFAN 6 O <br /> BU!TOTAt f BU!TOTAL 6 $0 <br /> PENMIT t PEIIMIT 0 <br /> TOTALFEE t TOTALFEE <br /> FqONT SET84CN HEAR SLiBACk SIDE SETB/CK P�p;:CNECK NUMBER FEE RECEIPT NO. <br /> USE20NE IOT�RER <br /> VACRNT SITE <br /> ❑ves ❑Ho FEES VALUATION FEE <br /> TYPE Of CONST OCCUPANCY GROUP NO OF DWFLLING UNITS BUILDING a <br /> PLUMBING <br /> 512E OF BLOG NO OF STOR�ES MA% OCC LO/D <br /> MECHANICAL . � 21 SO <br /> INVESTIGATION FEE Sec.3041e) <br /> FIRE SPRINKLERS REOUIRE� VES NO — <br /> STATE BUILDING SURCHARGE . � <br /> STA7E E�IERGV SUFCHARGE - <br /> APPLIGqT10N ACC BY P�ANS CMECNEO�V APPR fOq ISSURNCE BY <br /> DRIVEWAV PERMIT <br /> M.M. TOTAL 21 50 <br /> PFRMIT VALIDIITION <br /> WHEN PROPERLV VALIOATED(IN TFIIS SPACE�THIS IS VOUR PERMIT <br /> �` <br /> �` <br /> r• <br /> Q� <br /> !� <br /> !.'il �1� i�.5 I .�E <br />