Laserfiche WebLink
'�ERMIT APPLICATIO� <br /> BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKL�RIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 w�wv.eve{�r�ett�va.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM "' "� S'–'�Lf <br /> SITE ADDRESS �321 Colby Avenue PROPERN TA7(H Sce At�ached PER i T� _O Z <br /> LEGAL lor new conslmclion. Shan PlaUsuhArvi;ion �QSC. Lat No $Ce al���achd opy ol long 1�_gal descnption) <br /> OWNER Providence Regional Medical Center Everett phonNE-mail (425) 261-2000 <br /> nddress 1321 Colby Avenue ciryisiaieiZ�p Everett, WA 99206 <br /> APPLICANT: Owner X Owner'sAqen� _Conlractor __Conlractor'sAgent _Teranl�m�,siu�o..:��.�imm�oi�o.,;omimminno.�,�c��.�ao�n�w�,meso�co� <br /> CONTRACTOR MortenSon Consiruction L& I Lic. # 706,089-00�0 COE Bus. Lia N 021465 <br /> 10230 NE Points Drive N300, Kirkland,WA 98033 (425)459�0584 <br /> nddress PhoneiEmail melissa.teichmanna mortenson.com <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT <br /> Rick Ullman <br /> Phonc.'L-mail 206 521-3510/rick.ullman@z f.com <br /> BUILDING PERMIT APPLICATION CUNTRACT PRICE OF WORK S33o,210 <br /> Existing Use of ewlding Hospital _ HEAT SOURCE: <br /> Proposed Use of Building HOspi�al Gas_ Electr�c_ Oiher_ <br /> Bwldmg type: _Single Famity _Duplex_Tovmhouse _MWti-Family _Commercial <br /> Type of projecC New Addilion x Remodel Repair_T.I. Sign_Spnnkler_Demoiilion_Change of Use <br /> DESCRIPTION OF WORK(addl(ional spnce proviAcd on rnc bock): <br /> Duild out approximately 700 sf ol shell space and renovation ol approximately 1000 sl ol existing space lo expand nuclear medicine and <br /> echo/s�ress Iesting lacilities in the Dia9nosLc Imaging Depariment on Level 1 of Ihe Cymbaluk Medical Tower at Providente Regional Medical <br /> Center Everett. Spaces include a nuclear medicine camera room, Iwo Ireadmif rooms, Ihree echo/siress lesting rooms,a patient change <br /> alcove and a new singie occupanl patient talet room. �� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typc o(Prajoct: _New_Addn x Alteralion_Repair T c o(Prajecl� _New__Addn X Altcralion_Repair <br /> Show Numhei(N)ollirfures Show Num6cr(p)o//irfurc5 <br /> NC–air handlmg units 1 7oilet <br /> Forced air systems �a1hWb <br /> Gas pipinq 5 Lavalory(wash basin) <br /> Walef hea�er Shovrr.f <br /> Gas 6replar.c Kitchnn slnk 8 disposal <br /> Gas ran9c Dishwasher <br /> Clothes drycr Clolhes washer <br /> Ranye hood Waler heater <br /> Exhaust lan Sink(servicelbadmop/ctc. <br /> — F{y��n�mp ackllow prcvenlr.r <br /> Uml hcuter U ial <br /> Botlei Dnn.� gFountain <br /> Refnqeration floor d in <br /> Woodslovc Greasc Ir <br /> Duchnq Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Omer I <br /> Numbcr ul HcaAs O�her� �li <br /> i����ebY w���H Ilmt l linvc r�p0 e��d C.nimncU Vvs apDl�ca1�0��an�t 1,nu�v Iqc r,:unc tn pc Irur:ind mnrc� All piovimnna oi laws nn�f ordinances yovcininq thu lypu ol wnik will bn coinpl�rtl � <br /> vnlM1 vAutlhr:•.pnr.d�ytl h4npn nr not ihe gr,lniili�ol A permil iloet��ol prnsumr.lo grve aullionly lo vi0lalry oi cnncrl I�P prnm•.ion ol any Olhei SIifU Or lucdl lnw regtdplinq cOn�.bucl�nn <br /> � I:un.�nihr,n:r:n n�wniv ol Ihe propmty lo pcdo�m Ihrt wun lo�wn��n.ipp'¢abnn r,matic nnd 1 ri:nG�y vnlh me S�am(:���Im<lor:l aw Ifl:1 NCW antl 23f 100A VlFC . <br /> �, � <br /> � - 16 - Z� ��z <br /> OvinndAulhonz�•d Agont Signnlurr � D.�Ie (Re+�sed!/I012f � <br />