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r,�`�� �`�r`"`.`�� ^,ONSTRUCTIO�' <br /> -. �: <br /> everett PERMIT PERMIT NO. i3274 <br /> QTY HALL 259�8745 <br /> EVERETT.V�A 98207 � COMBINATION X�'% BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAI�qDDRE55 GITY ZIP PMONE <br /> Providence Hospital Everett �8201 258-7414 <br /> RRLMiiELT OR DESiuNEA MAIL AD�RE55 GiTv ZiP PMONE <br /> LENERALGONiRI.LiOR MRILADDRE55 CITY 21P PHONE LIGE�:SE� <br /> Newland Const Co. P.O. Box 958 Everett 98206 259-9191 <br /> MEGMRNICRL GONTRAGTOR MAIL ApDRE57 LITV ZIP PHONE LIGENSE Y <br /> PWMBING GONTReGTOR MPIL PODRE55 GTY 21P PMONE LICENSE� <br /> CLR55OF WORR <br /> ❑NEW ❑ ADDITION � ALiERA710N ❑REPAIR � OEMOLITION ❑ FENCE G SIGN ❑ WOOD STOVE/FIREPLACE iNSERT <br /> VRWATION OF WORN <br /> : eo,000.00 <br /> OESCRIBE WORR <br /> Tenant improvment of existin second floor north Nurses station <br /> PROPOSEO USE OF BUILDiNG <br /> Hcspital-nursing floor I HEPE�3Y CEFTIFY THAT I HAVE READ AND EXAMiNED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TfiUE AND <br /> LEGRL DESCRIFLION OF PHOPERTY ISHOW BELOA'OR ATfAGH FOUR GOPIES) COflFECT�. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN_OF GOVERhING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WFiE'lHER SPECIFIED HFREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT FRFSUME TO GIVE AUTHORITY TO VIOLATE <br /> — Oii CANCEL THE PFiOVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW EGULATING CONSTRUCTION OR THE <br /> PERFORMA OF CON RUCTION. <br /> J�B ADDRESS SiGNA1URE 0 NTRA�TON T IZEO AGENi 04T[ <br /> 916 Pacific Avenue X S� (o -�' <br /> PLUMBING MECHANI <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> _ WATERCLOSET�TOILEn � AIR COI�D. UNITS— H.P. EA. <br /> BATMTU9 REFRIGERATION UNITS— H.P. EA. <br /> L4VATORY�WASMBASIN� BOILERS — N.R EA. <br /> SHOWER GFS FIRE�A.C. UNITS— TONNAGE EA. <br /> KITCNEN SINK 8 DISP. FORCE�AIR SYSTEMS— O.T.U. M EA. <br /> DISHWASNER WALL MEATERS— B.T.U. M <br /> LAUNDRVTRA'f UNIT NEATERS— B.i.U. M <br /> GLOTMES WASHER EYAPORAiIJE COOLERS <br /> WpTER HEATER CLOTMES DRVERS <br /> URINAL �ENTILATION F 1N <br /> DRINKING FOUNTAIN RANGE HOOD <br /> PLOOR DRAIN P.�R HANOLING UNIT — QF.M. __ � <br /> VACUUM BREAKERS STOVE—WOOD <br /> _ � <br /> ROOF ORAINS — RAINLEADERS METAL FIREPIACE 8 CHIMNEY F`'� <br /> SINK�SERVICE — BAR,ETC.) i�iREPLACE INSERT �" <br /> MEAT PUMP <br /> H F <br /> SUB TOTAL ' SU9 TOTAL f "3 " <br /> PERMIT S PENMIT f � [- <br /> TOTRL FEE S TOTALFEE f � � <br /> 5'OE YARD SETBACK SiREET SETBACK REAR VARD SETBnCI( PLAN CHECK NUNBER PLAN CHEGK F[E C � <br /> FEE AEC[IPT IJO. �T� <br /> 84/13274 203.45 <br /> 68992 ___ � `. <br /> USE ZONE LOT AREA VA�ANT SITE <br /> YES � NO FEES _ VALUATION FEE _ , � <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS � � <br /> I-Fire Resistive I-1 0 <br /> BUILDING s 60,000. 313 00 � " <br /> SSE OF BLDG. NO.OF STORIES MAX.OCG LOAD � :. <br /> PLUMBING H i- <br /> FIRF 20NE BASEMENT FIRE SPF'NKLERS MECMANICAL � <br /> REOUIRED <br /> ES NO � �. <br /> APPNOVALS BY DATE GTHER — <br /> � - <br /> 1.ENVIFONMENTAL GNECK L15T PENA�T� U B C. � . , <br /> SEC.J071e1 <br /> 2.BUILDING PL ANS <br /> 3.FIREHYDRANT TOTAL 313 �� <br /> � , <br /> a.FIFE FROTECTION SYSTEM PEflMIT VALIDATION <br /> S.GFADING WHEN PROPERLY VALIDATED pN THIS SPACE�THI IS YOUR PERMIT <br /> B.�RAINAGE � � �� 3 � � � �. � � '--- � , <br /> _ � <br /> L ENVIAONMENTAL IhiPACTSTATEMENT � � � <br /> B.MEAL�HDISiRICT , _ <br /> APPUCATION ACC. BY PLANS CHECKED BY APPR. FORISSUANCEBY i. . , , <br /> STG HYIt�1 LC � ' <br /> /��?iti2E',:; HI C � , . <br />