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APPLICATION fOR CONSTRUCTI0��1 PERMIT � <br /> ' TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> 3UILDINQ DEPARTMENT HEATINO 9YSTEM: O CiAS y�ELECTRIO O <br /> 259•8810 <br /> p DEMOLITION D COMBINATION O BUILDINQ �MECHANICAL QPLUMBINO O SIQN <br /> �WN�A IMIL11bDRE&S G1Y 21P MIONt <br /> Group Health Cooperative 521 Wall St.. Seattle. WA 98121 448-2429 <br /> tENaNi 1M6ADDHEBS OITY SW ►HON! <br /> Group Health Evesett AMC 2930 Maple St., E�erett, WA 98201 <br /> eRW1rt[G10HDiSKiNCO �MtADDRF86 OI1Y 2v� ►HONC <br /> Group Health �operative 521 Wall St., Sa3ttle, Y1P. 98121 448-2429 <br /> fiCN[�ULCONTN/�CTOfl W\RADDRi{8 GTY ZW ►HON! tTA1kl10EN9F� <br /> I,�se (Yutcher Lewis Nntractors 107 Spring St., S�ite 300, Sea. 67.2-1666 LFASECL118NB <br /> MhCMANiCnLCONIHACTOp FNIlAOoneW O�Y 7N �XONF fUTFIIC[NSe� <br /> Holaday-Parks, Inc. P,O. Box 69208, Seattle, WA 98168 248-9700 HOLADPT379N0 <br /> VlUA1PINOCONTMC�ON IAMhODllk69 CRV 21► PHONF �TATfIICLNClI <br /> Stirrett-Johns� 6 4- * <br /> f,ONrMACT PRICL OF WpRlf . <br /> $122 �00.�0 <br /> UCRCFIOC WORK AND�OUAIIE fOf)7A0!INYOWlD pfNUApi rlq1QN/LNp�l1QNF Nq, • <br /> . install crnu�lete HVAC svstan for new (Joruina 12a sxi 248-9700 <br /> ca[[nPscial medical office buildin . <br /> 60�000 sq, ft. I HERE9Y CERTIFY THAT 1 HAVE READ AND EXAMINEO TH13 <br /> rnovOBED uBc or sui�DWp APPLICATION AND KNOW THE SAME TO BH 1RUF AND CORRECL AlL <br /> Medical Office Buildin PROVI610N8 OF LHW8 AND ORDINANC89 pOVERNINO THIS TYPE OF <br /> llUALOE6GNIVTqNOFPpODCRTY�6HOWHOttOWORATTACNiWO00IIEi) WORK WILL BE COMPLETED WITH WHETHER&PECIFIEp NEREIN OR <br /> i�� ai aK a, NOT. TNE GMNTINp OF A pERM1T DOE6 NOT PREBUME TO OIVE <br /> AUTHORITY TO VIOLATE OR CANCEI THE PROVI610NS OF ANY <br /> See Attached. OTHER&TATE OR LOCAL LAW REGULATINQ CON9TRUCTION OR THE <br /> PERi'ORAMNCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF TMI6 PROPERTY TO PERFORM TI1E WORK FOR WMICH <br /> APPI.ICATION 18 MADE AND I COMPLY WITH TME &TATE <br /> CApCCI TA%I.U.NUMOCII CONTRACTOR9 LAW iB27 ROW AND 2p8200 WAC. <br /> N A <br /> CONSTPUCTiON LO�N LlNUEN,ADDIICBS,I�LCMIOHE NIAAOCR - <br /> :L L 1 14 94 <br /> PROJEC7 ADDRlBS �wK 812653 �^�T <br /> 29 0 Did tr tmMwwutttwwwn <br /> PLUMBINp MECHANICA6 <br /> N0, TYPE OF FIXTUR!OR ITEM RE! N0, TYPE OF lOUIPMENT �!E <br /> WATER CLOSE7 TOILEn A/G••AIHNDlO UNR6—H.P. � <br /> BATHTUB � RORCED AIR 6YBTF.MS.�B.T.U. M 6.A. � <br /> IAVATORY WASHBA6IN UNITHEATER9—a.T,U� M ; <br /> SHOWER � CIOTHES DRYERS <br /> KITCHHN 61NK 6 pISP � �/ENTILM ION FAN � <br /> DISHWASHER � rVWpEHOOD � <br /> LA NDRY TRAY ' WATEfl HEAT6R � <br /> CIOTHES WASHER i WOpD 6TOVB , <br /> URINAL � METAL FIREPUCE(WOOD BURNINO � <br /> ORINKINQ FOUNTAIN FIREPLACE IN9ERT ; <br /> FLOOR DRAIN � HEAT PUMP i <br /> BACKFLOW PREVENTERS ' OA8 PIPINO � <br /> R AIN — twn+�vo� rniv <br /> SINK SERVICE—IiAR,ETCJ ' � <br /> � , <br /> � � <br /> � ' <br /> i , <br /> 8UB TOTAL UB TOTAL S ' <br /> PERMIT i � PERMIT S <br /> TOTALFEE S � TOTALFLE S � � <br /> FOR OFFICE USE ONLY� <br /> �aonisetBACK XE�qpCtMOK BiDEYFTnAqlf � PIANCFiFGtM»,�skq , fFE ncceirirro. �� <br /> usetor+¢ wrene� v�Gwiui[ REB VALUATION FE! <br /> � �l Y�6 LI NO A���� !�� <br /> lrrtu�C0.vSt No.0�t10RiE8 � �nnow�uiawtl <br /> PLUMtlINO � <br /> 5utOFBlDO. hIHEBVwNHIlNBRECD BABFYCM MECHANIOAL � i <br /> U YEB n NO <br /> pr.cureflCvlOAD Fia[AunMHEO'D MlIOHTI•wrtAT1oN ADDITIONAI.PIANCIIFOK � <br /> O1NER i <br /> PUSUN <br /> STATE BUILDINO 9URC11AROE � <br /> iN1ANF AY �UNSA77pOKD0Y CITY Of EVERETT PUD��Q WORKB � <br /> LOCALSALES ' <br /> n�Tc TAl(COOE IS 3106 TOTAL ; <br />