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`�� C'�NSTRUCTION - � <br /> everett PERMIT PERMITNO. 2� OOB <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING CR MECHANICAL CS PLUMBING ❑ SIGN <br /> p�p M�ILRDDRE55 CITY ZIP PXONE <br /> Providence Hospital 916 Pacific Everett 98201 258-7123 <br /> •qp11TECT OR DESIGNER MA�L AODRE55 CITY 21P PMONE <br /> GENERALCONTP�CTOR MAIL�ODRE55 CITY ZIP A10NE LICENSE• <br /> IAEpUNIG1LCONTRAGTOR M�ILAODRE55 CITY 21P PMONE LICENSE• <br /> PIUMBINGCONTR�CTOR MAILADDRE55 CITY ZIP PMONE LICENSE� <br /> Glantz Supply Inc 3332 Cedar St �rerett 98201 252-2442 GL•nNmc262xN <br /> GUSS OF WORK <br /> I� NEW �ADDITON ❑ ALTERATION ❑ REPAIR ❑ DEMOLITON ❑ BUILDING NELOCATION <br /> V�LUATION OF Y/ORK <br /> S <br /> DESCRIBE WORN � <br /> Mechanical and limibin for MRI Bld . <br /> NEATSOUNCE <br /> ❑ ELECTRICIT/ ❑ OAS ❑ WOODSTOVE ❑ OTMER <br /> RIOPOSED lISE OF BUILDINO <br /> I HEREBY CERTIFY THAT � HAVE READ AND EXAMINED THIS <br /> MRI Bld . APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�L�ESCRIPTIONOFRiOVERTY�SNOWBEIOWOPATTAGNFOUPCOPiES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT�BLOCN _ OF WHETHER SPECIFIED HEREIN OR NOT. THE GHANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL L REGULATING CONSTRUCTION OR <br /> THE PE RMANC F ONSTRUCTION. <br /> JOBAOJRESS SIGN�T OF CONTRnCT .RU RIZED AGENT.OR OYMEH OATE <br /> 916 Pac:ific A X <br /> PLUMBINO M CHANICAL <br /> NO. TME OF RIRURE ON ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 2 WATER CLOSET(TOILET) A/C—A/MNDLG UNITS—HP. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> Q LAVATORY�WASMBASIN) BOILERS—B.T.U.M.P. <br /> 1 SHOWER GAS FIRE�A.C.UNITS—B.T.U. <br /> 1 KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS—8 T.U. M EA. <br /> DISHWASHER WALL H(ATEFS—B T.0 M <br /> LAUNDRV TRAV UNIT M�ATERS—B T.U. M <br /> CLOTMES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESDRVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> 1 FLOOR DRAIN RANGE HO00 <br /> BACKFLOW PREVENTERS WATER HEATER <br /> 4 FOOFORqINS—RA�NLEADENS WOODSTOVE <br /> 1 SINN(SERVICE—BAR,ETC.) METAL FIREPLACE d CHIMNEV <br /> 4 O I 1 FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> W�TOTAL t 8US TOT11L <br /> ��t � PERMIT <br /> TOTAIfEE f TOTALFEE <br /> FqONT SET9�CR RERR SETB�CIt SioE SETBnCK PLAN CHECK NUMBER '� <br /> � <br /> USE ZONE LOT�REA ypC.NT SITE <br /> ❑res ❑rvo FEES ATION FEE <br /> TYPEOFCONST. OCLUP�NCVGROUP NO.Of�WELIINGUNITS BUILDING �yn �.�y <br /> PLUMBING � SO OO <br /> SIZE OF BIOG. NOAi STORIES MA%.OCC.LOAp <br /> MECHANICAL 21 SO <br /> INVESTIGATION FEE Sec.301(e) <br /> FIR SPR�NKLERSREOUIREO VES NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHAFGE <br /> RPPLICRTION RCC BV PUNS CHECKED BY APPR.FOR ISSUANCE BY <br /> DRIVEWAY PERMIT <br /> S.H. TOTAL 101 50 <br /> PEpMIT V11LID11T10N <br /> WHEN PROPERLV VALIDATE�(IN THIS SPACE)THIS IS YOUR PERMIT <br /> Q� <br /> � <br /> 0 <br /> r� <br /> N <br />