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�� . <br /> APPLICATIC,��I FOR CONSTRUCT'' 1N PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT �� <br /> BUILDING DEPARTMENT �HEATMG SYSTEM: I,�GAS $�ELECTRIC ❑ I <br /> 259-8810 <br /> I_7 DEMOLITION $� COMBINATION I J BUILDING f l MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILADDRESS CITY TIP PHONE <br /> Group Health Cooperative 521 Wall Street Seattle WA 98121 (206) 448-2355 <br /> TENANT MAILAD�RESS CITV 21P PMONE <br /> SAME <br /> ARCNITECTORDESIGkIR MAILAOORESS CITV 11P PNO��E <br /> SAME <br /> GENc'RALWNiRACTOR MAILADDRE55 CITV IIP PNOtc ST�TELICENSE+ LEASECL <br /> Lease Crutcher Lewis 107 Spring St. Suite 300 Seattle WA 98104-1052 (20G) 622-1666 118NB <br /> MECY.ANICALCONTRACTOR MAILqDDRE55 CITV 21P PMO^E STATELICENSEs <br /> Holaday Parks P.O. Sox 69208 Seattle, WA 98188 (206) 248-9700 HOLADPI379N0 <br /> PLUMBINGCONTRACTOR MAILAODRESS CITV ZIP PNOAE S7ATEUCENSEtl <br /> Stirrett Johnson 5555 Westgate Road Silverdale, WA 98383 (206) 692-6128 ST-IR-R,T-*2g186 <br /> CONiRACT PfiICE OF WORN <br /> $7,022,664 (Includes $441,156.00 Mech.) <br /> DESCRIBE WOHH AND SOUARE FO'JTAGE INVOLVE� i.ONTACT PERSON AND PMONE N0. <br /> MOB and Parking Garage Joe Neuenschwander (206) 448-2355 <br /> � MOB 62,753 SF <br /> Pkg Garage 92,117 SF _ i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROf'OSEDUSEOFBUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> Medical Clinic PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGALDESCRIPTIONOFPROPERTV�SHO�YNBELOWORATTACiTWOCOPIES� WOAK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ioT auxK oF _ NOT, THE 3RANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> See Attached. OTHER STP.TE OR LOCAL LHW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> PARCELTA%ID.NUMBER APPLICATION IS MAUE AND I COMPLY WITH THE S7ATE <br /> C(klTRACTOR AN'iB.2?RCW AND 296200 WAC. <br /> CONSTRUCTIONLOANLEN�ER.AD�RESS,TEIEPMONE NUMBER <br /> Group Health Cooperative � <br /> 0 <br /> PROJEC.TADDRESS s��C�Aru . o�rE •���� <br /> 2930 Ma le Stieet rausin ssi�,ceHscmo - <br /> PLUMBING M ICAL — <br /> NO. TYPE OF FIXTURE OR ITEM PEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� � A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY;WASH BASIN) � UNIT HEATERS—B.T.U. M <br /> 2 SHOWER ' CLOTHES DRVERS , <br /> 1 KITCHEN SIIJK 8 DISP - I VENTILATION FAN � <br /> � D15HWASHER RANGE HOOD �— <br /> LAUNDRY TRAY WATER HLATER <br /> CLOTHES WASHER � WOODSTOVE � <br /> 2 URINAL METAL FIREPLACE(WOOD BU ING) � <br /> .�'�L DRINKING FOUNTAIN � FIREPLACE INSERT � <br /> 4 FLOOR DRAI� HEAT PUMP , <br /> u BACKFIOW PREVEN RS ; GAS PIPING � <br /> �Y ROOF ORAINS— NLEADERS � EXHAUST FAN ' <br /> I SINK(fiERVI —BAR,ETC.) � , <br /> � <br /> � Gara e rains � � � <br /> 1 San il Interce tor � <br /> � <br /> � <br /> � � <br /> _ SUB TOTAL $ ; SUB TOTAL S <br /> PERMIT $ PERMIT $ ; <br /> ' TOTAL FEE S TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACK REARSETBACK SIOESETBACK PLRNCHECKNUMBER FEE RECEIPTNO. <br /> 0 � � �ti� � ,i D <br /> usezoN}e� LOTAREA VqCANT5ITE FEES VALUATION FEE <br /> \ — � ❑ YES ❑ NO BUILDING �7 ?j3 /SX 07 ' JD <br /> iVPFOfCONSi. NO.OFSTORIES OCCUvxNtr NOO�mYEiutiGUNus <br /> 1�� � (_ ca uv pWA1BING <br /> T � s�J .A' <br /> SIZEOFOI�G. FIRESPRINKLERSREO'D B SEMENT I��ECHAN�CAI � <br /> I���L"I(o �� �'�j _� ,GYES :^' NO <br /> OCCUPANGVLO�D FIREALARMREOD HEIGHTLIMITAiION ADDITIONALPLANCHECK � —� <br /> � �"'J .�_ I � � / �7C0 �J.:) <br /> REnSON � OTHER i <br /> i <br /> n�'*Y IA.lij�:�j� STATEBUIL�INGSUqCHARGE • `J;_� <br /> INTANE�Y PLANSAPPfiOV[D�Y CITY OF EVERETT PUBLIC WORKS �— <br /> JM LOCAL SALES <br /> DATE c� ��3 TAX CODE IS 3105 TOTAL ,.-, � �� <br /> /`� %r=f �,: <br />