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��° '-' ('�NSTRUCTION � � <br /> everett PERMIT PERAI�ITNO. � 9060 <br /> �8=-�i .�s'�-88�0 <br /> O DEMOLI710N ❑ COMBINATION �I BUILDING ❑ MECHANICAL O PLUMBING ❑ SION <br /> ��ER MAR qDDRE55 �Ry pIF PHONE <br /> Providence Hospital P.O. Box 1067 Everett, WA 98206 758-7414 <br /> ARCHITEGTORDESIGNER MAILRDDRE55 CITY 21C PNONE <br /> Rotesch, Nash & Hall Architects, PS 4206 Hoyt Ave Everett, WA 98203 259-0868 <br /> GENER��ppNTRACTOR MAIL ADDRE55 CITY 71P PHONE ltpENSE• <br /> Newland Construction Co. , Inc. P.O. Box 958 Everett, WA 98206 259-9191 <br /> MECHANIC�LCONTq�pTOR MRILADDPE55 qTY ZIP PIIONE VCENSE• <br /> Glantz Supply, Inc. 3332 Cedar Street Everett, WA 98201 252-2442 <br /> PLUMBINGCONTR�CTON MAILADDPE55 dTY ZIP MONE UCENSE• <br /> St1R1E <br /> CLASS OF WpRN <br /> ❑ NEW ❑ADDITION �� ALiERATION ❑ REPAIR ❑ DEMOLITION � EUILDING NELOCATION <br /> VAWATIONOf WORN <br /> s 13����0 <br /> DESGRIBE WORIc <br /> itemodel existing laboratory <br /> HEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑WOODSTOVE ❑ OTNER <br /> PROVOSED USE OF BUILDING <br /> Iaboratory I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�LDESCRIPTIDNOFiR10PERTV�5HOW0ElOWORATTRCMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT�BLOCK _OF GOVERNING THIS TYPE OF WORR WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br /> g1��� r,�h VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> PROVI[SE'FIC�AOSPITAL �� �� STATE OR LOCAL LAW REGULATING �ONSTRUCTION OR <br /> Blood Iab THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AODRESS F CONTRRCT R,AUTMORRED RGENT.OR O DFTE <br /> 916 Pacific Ave ��,�� 7 <br /> PLUMISINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYVE OF EGUIPMENT � <br /> WATER ClOSET(TOILET� A/C—AMNDLG UNITS—HP. <br /> B�THTUB REFRIGERATION UNITS—H.P.El�. <br /> LAVATORY(WASH BASIN� BOILERS—0 T.0/H.P. <br /> SHOWER GAS FIRED A�C.UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. FORChD AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHEH WALLNEATERS—B.T.U. M <br /> LAUNDRY TRAV UNIT HEATERS—BSL. M <br /> CLOTHES WASMER EVAPORATIVE COOLERS <br /> URINAL CLOTHES DHYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FIOOR DPAW � RANGE NOOD <br /> B�CKFLOW PREVENTERS WATER HEATER <br /> ROOF DRAINS—NAINLEADERS WOOD STOVE <br /> SINK�SERVICE—BAR,ETCJ METAL FIqEPLACE 8 CHIMNEV <br /> FIREPLACE INSERT <br /> HEAT PUMP <br /> GFS PIPING <br /> EXHAUSTFAN <br /> SUSTOTAL f SUlTOTAL <br /> PEIIMIT { PEII►IIT <br /> TOTALFEE f TOTALfEE <br /> FHON*SETB�CK REnR SETBnCK SiDE sEruncK pLAN CHECK NUMBER FEE RECEIPf NO. <br /> 87/19060 483.90 937P.$,; <br /> USE 20NE lOT RRE� ' - -� - � � �' <br /> vnc�N.sire FEES VALUATION � FEE <br /> ❑res [xno <br /> rrveovciIT— 1 HR OCCUP;�GRDUP NOOFOWELLiNGUNIiS BUILUING S 130�000 �JA4 SO <br /> I-1 0 PLUMBING - <br /> S1IEDFBIDG NOAFSTORIES MA%.00G LOAD - <br /> 1500 6P 1 NA MECHANICAL � � � - <br /> INVESTIGATION FEE Sec.304�e) <br /> FIRE SPRINKLEHS REOUIRED YFS NO <br /> STATE BUILDING SURCHARGE 3 50 <br /> STATEENERGVSURCHARGE <br /> APPLiC�TION�CC6Y PLANSCHECREOOV PVPPfORISSU4NCE9Y <br /> DfiIVEWAV PERMIT <br /> M.M. Be L.C. <br /> TOTAL 748 00 <br /> PERMIT VALIU�TION <br /> SEPARATE pERMITS REQUIRED FOR PLUMBING, WMENPROPEi7LYVALIUATED�WTHI55PACE)THISISVOURPERMIT <br /> MECHANICAL AND ELECTRZCAL 0 <br /> CO <br /> O <br /> � <br /> � <br />