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PERIVIIT APPLi�ATION <br /> CITY OF EVERETT PERMiT SERVICES GI 705-34 -f ys`��F � <br /> 425-257o8810D FAX 425 257E8857E www.e e$et�twa.org �� �G�S-�' ;S i!v�� � <br /> Q jI9 ��- APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � �" � �v � <br /> Q �� -�.7 <br /> t'rovidence Lvcrell Medical C.cnter <br /> SITE ADDR SS PARCEL TAX I.D.# PE MIT# <br /> l32 veno.i�- See Sheel A0.01 <br /> _ / . <br /> LEGAL LOTNO` BLOCK TRACT <br /> DESC. C and D 2�}8 <br /> OWNER ADDRESS CITYfZIP PHONE <br /> Providence Evcrett Medical Center 13421 Colby AVG, Everctt, bVA 98206 (�12?) 261-�i5G <br /> TENANTNAME CONTACTFORPERMIT ��;d, U�p,c`�O�a PHONE <br /> Scott Andcrson f ���'d�'c` . or� (425)z61-•S5i6 �.• <br /> l'-�1 ,. <br /> CONTRACTOR ADDRESS� CITY/ZIP PHONE <br /> M.A. Morlenson <br /> CONTR.LICENSE# MAh10RC190NG 74719 NE 29th Placc, 13cllevuc,WA 9�3007 (425) 895-9000 <br /> USE OF BUILDING HEAT SOURCE � COtJTRACT PRICE OF VJORK <br /> Parking Garage �Eleclric _Gas_Other Unknewn <br /> WORK DESCRIPTION <br /> Construction of a 985 car park�ng garage, 5 slories plus�}basement levels wilh <br /> 3-15,G60 gsf in area. <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE�R ITEM <br /> Toilet i A/C—airhandlingunils <br /> Bathtub Forced air systems <br /> Lavatory (wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal _ Gas(ireplace <br /> Dishwasher Gas range <br /> Clothes washer Cblh�s dryer <br /> Waler healer Ranc�e hood <br /> Sink(service/bar/mopletr..) Euhaust fan <br /> 1 `. Back(low preventer _ Heal pump <br /> `Urinal � it heater <br />� Drioking Founlain � Boi <br /> 33_ Flo�� ram Re(rige 'on <br /> �_ Greas rap _ Woodstove <br /> �_ Roof d� _ Other <br />�� �_ Olher�r��, 5 _ <br /> � — �� � i �F .r. — <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 5105 <br /> I hereby ceriti(y that I have read an examined this applicalion and know lhe same to be lrue and correcL All previsions of laws and <br /> ordinaces governin9lhis type of work will be complied with whether speci(ied herein or not.The grenling of a permit does not presume <br /> to give aulhorit violale or cancel lhe provision of any other stale or local law regulating construction or the pe�Tormance of <br /> construction. at a 2ut orize y lhe owner o(this property lo perform lhe�aork(or which application is made and I comply with(he <br /> Slale ConVa ors L v 7 and 29G.2 0�VAC. <br /> ��� 24f� 5�°7 <br /> Signalure of OwnedConlraclor/Authori d Agent Date <br /> Y-�- <br />