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APP'LICAiION F�R CQNSTRUCTIA�N PERMIT �✓� <br />TO BE C0� ETED IN BLACK INK—PLEASE PRINT <br />_ . ...__ . . ------. _. . __ .. . <br />I HEATINC SYSTEM� 'J GAS 'J ELECTRIC �� . . __.____. <br />BUILC�ING D[PARTMENT `---'-'- <br />259-0010 <br />DE�dOLITION COMDINATION � BUILDINC3 I MFCHANICAL __ _ PLUMBING <br />Gd'qt'1 IA�ILFDUMNS CI'� ....- iP i'M::NC <br />The Everett Clinic 3901 Hoyt Ave. F.verett WA 98201 (206) 339-546 <br />�cu.N� �un.ou�Fsy fl:v : �. .. ••.-.••.CII.FIf <br />! SIGN I <br />The Everett Clinic _.. ._. _...-- - - <br />��GNiFCII')NfG�ilp'!F4 �--I�A'. G]GPf$5 .. . . ._ .. ..-_ (.IiY ZP f11J <br />Martenson Clark Assoc. 9750 N.E. 120th Place, Suite 6, Kirkland, 8034 (206) 823-2244 <br />%��:r�ui.c�vinnr:.6n._._. ��nun�oncso -._.. . ... un• _.-:.r Slqll�lkh:tE1 <br />to be selected _. -- — - <br />IA_CIJ�N'�:4LCUH1fIA:'Oq...- iq1:Kf:M�SV Gi�V 7.i f'lldlC AthTfIIGCN:C� <br />i <br />to be selected - ---- --- � <br />'. ----- -'-- ..... ..'-----�' rna�c 5*mc uc[usn <br />Pl'J`A.IV7CUYq�R:1Ull RU�. RII:tqF54 LI'Y 2iP <br />ta be selected __` _ -- - <br />_-- <br />(;p'AFAf'COIi,[O�YlU9e —•� ... _ //� .S/"�/]2� <br />; 850,000 ��� -- �� � � <br />�. <br />�nci 4i4F VI,19K ANP GO.ITPI' �C11T4GC �Yl'U.YlII ccmrnr.T rr. nvo vna+c r�o <br />Bui�d a 9,750s.f. single atory Medical <br />Office/Clinic <br />—_ ���� ���� r� REBY CERTIFY iHAT I HAVE FEAU AND EXAIAINED THI:: <br />rnnror.c�u^� cr am�io�: � UCAII�N AND KNOW THE SAIdE TU BE 1 NUE AND CORHECI. ALl <br />pV1510N5 OF LAWS AND ORDIIJ0.tdCE5 GOVERNItdG 1HiS TVPE OF <br />lC G0. C�C SCIII'9 Y Oi V! I91VM[�11 � iSH(;Y:ti Q'. Cw OP <br />:a e.vc� or — <br />see sheet A-0 <br />rn�cnTn�ic nvvs��� <br />see sheet A-0 <br />1695'R'J(.•IdI 1C�1 .NNeN. �f�OP�55 TCLCfI�UHC <br />TYPE OF PI%7URE OR ITEM <br />W�TEtI CLOSET (TU11E11 - _. <br />Lf.\'A10RV IWAtiH HA: <br />SIIOWCR <br />KITCHFN SINK R DISP <br />_�.^ DISHVI�SHEfi <br />IAUNbRYTRAV <br />CLOIMES WASHER <br />URiNAI <br />URIIJKRJG f'OUNTAIN <br />H OUH UHAIN <br />CACKFLOW PREVEN <br />ROC)F URAIIJS—RAV• <br />�SINK �3F.HVICL—HAF <br />FOR OFFICE USE <br />f001C 5C70AC�i <br />�� <br />V�:t [•.:�.! <br />tr�t�n:r.�.z� � <br />� �i <br />GJG OF Fi ."-". <br />����� _. <br />q-r,��p11 LV IO�D <br />�� � <br />n�nso�i <br />pp�Vi FY <br />PCR1.11T <br />� i.. _. <br />. .._—"..... <br />:- i <br />JORK WILL BE COMFLE7ED WITH WH[THER SPCCIfICD IICREIN GR <br />NOT. THE GRANTIN6 OF A PERIAIT DOES IdGT f'RESUI.1E TO GNE <br />AUl HORITY TO VIOLA�E OR CANOEL THI- PHUVI$ION$ OF ANV <br />OTHER STATC OR LOCAI lAW fiEGULAT1I�C CONSTRUCTIOW OR TNC <br />PERFORMANGE OF CONSTRUCTIUN. TMAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO P[RFOpA1 1 HE WORK FOH WHiCH <br />APPLICATION IS MADL AND 1 COMPLY WITH THE STATC <br />CONTRACT�S lAW 1B27 hCW AND 296 200 WAC <br />su.n(,� - mTr�'—F �' • .._ <br />t n� [e{ �.ISf l�: VIYI M1'! <br />Tvre oF sauirn,eN� <br />A�G �A'HNDLGUNITS—H.P. <br />FORCED AIR SVSTEh:S—B7 U. <br />UNIT HEATEfiS—B T.U. IA <br />CLOTHESDHYERS _ <br />VEN114ATION FAN <br />RANGEHOOU <br />WATER HEATER <br />WOOD STOVE <br />FIREPLACE INSERT <br />GAS FIFIIJG <br />F%HAUSTFAN <br />ID BURNWG) <br />... I ..'-- . — <br />: <br />i_ <br />.�_ . "'.. ... ... .. . __ . . <br />—'-" . � <br />SUBTOTAL 5 <br />.. PER�dI? 4 � <br />. ._T07AL � �. f . _ <br />C�95L1NR:� FI�F6FikdC.e ��ANi.11f IItlF'O[n <br />, ' 305 <br />Ii�tF4F� _-"-'� ML�NTAITC FEE <br />�! YES i''� NO p�ill <br />.f..1:r�OtAtpNFS ..._ -l.�.U•T��n-n•.��:�:.rt'JS �__' <br />� 1 �„�„ �i riut,+Aiva _ <br />I- — �: -1 ._._ _. <br />iMk+°MNeiF4'.PFOh o'.SC!'CI11 IAFf.HA1JILAL <br />��. ' i VES ��NO -- <br />ti0.F�� uFFpn MFIn�'ll'.�nllp': �UIq11QIJALPLANLHECN <br />.. �^ _._ .. . - _. .. O7MER ..... .- <br />S1NF FlIIROMG SURLNAR�I <br />� �t 0 <br />r��NS✓'�HUVViPV CITYOFEVERETT PU9LILWURKS <br />!�___- <br />�� �ocn� sn�Es <br />� nr.rf TAX CO�F. IS 3IOJ 10TAL <br />L.- - <br />� <br />