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. , <br /> the Evergreen r. CONSTRUCTION -- . everett I <br /> "t"aF � PERMIT <br /> everett <br /> : , . ,: <br /> CITV HALL259-8]45 . gUILOING • MECHANICAL • PLUMBING � - " �- <br /> EVERETT, WA 98201 COMBINATION _ ,_ <br /> OWNER <br /> MAIL AU�flESS ZIP PNONE m j '- � <br /> Providence Ho ital 916 Pacific 98z�1 7p <br /> ARCHITECT OR OESIGNER MAIL ADDRESS PNONE LICENSE NO. ; ; 51'� <br /> Botesch-Nash G Assoc � . <br /> GENERAL CUNTRACTOF MAI�ADDHESS PMONE L�CENSE NO. Z , � <br /> Sanford Wriqht P.O. Boz 809 Everett 259-4138, 123-01-WR IG 378N0 C <br /> MECNANICALCONTRACTOR MAIL A�DHESS PNONE �ICENSE NO. W <br /> � m <br /> PWMBING CONTRACTOR MAIL ADOFESS PHONE LICENSE NO. � � 1 , . <br /> �Jl� <br /> PEPMIT CLASS OF WORK � I ' - <br /> �COMOIR AT101i ' <br /> �(BUILOING ❑PLUMBING ❑MECHANICAL � <br /> ❑NEW ❑ADDITION �XLTERAT�ON ❑REPAIF <br /> VALUATION OF WONK � <br /> ❑DEMOLISH ❑fENCE GSIGN ❑SWIMMING POOL � <br /> � 200r000.00 <br /> DESCR�BE WORK � <br /> 1►lterations and additions to existinq cafeteria <br /> , v�oroseo use MECMANICAL <br /> Hospital Cafeteria 7VPEOFENERG� � <br /> LEGAL DESCH�VTION OF PROPERTV ISMOW BELOW OR ATTACH ❑GAS ❑ELE4 � <br /> FOUR CO►IES) �p, �'►E OF EQUI�MENT FEE 1 <br /> �or 31�32 BLOCK 774 0� �erett Div. H � <br /> AIH COND.UNITS-N.P. EA. S I <br /> REFNIGERATION UNITS �N.P. EA. t <br /> BOILEAS N.P. EA. � S <br /> r� <br /> FORCED AIR SYSTEMS-&T.U. MEA. � <br /> 1 ! <br /> JOB AODRE55 SPACE d WAL� HEATEftS - 9.T.V. E <br /> ' 916 PaCif1C AVenue uNirHEnreRs-n.-r.u. � i <br /> EVAPORATIVECOO�EPS ; <br /> ' ������ CLOTNESDFVEHS � { <br /> : VENTILGTION FAK ( <br /> � RANGEHO00 � ; <br /> � NO. TYPE OF FIXTU�E OR ITEM FEE AIR MnNOL�NG UNIi- GF.M. <br /> , ; SATN U65 S � 1 <br /> CLOTHES WASHI;q � WAiER NFATER � <br /> � � DISH WASNERS � FAG. BUILT FtREPLACE 8 CMIMNEV _ 1 <br /> DRINK�NG FOUN�TAINS � GAS. SVSTEM: AO CP OUTLETS '' <br /> . . �_ i FL R ORAINS ' '— suo ioin� S S I 00 j <br /> KITC � � PERMIT S <br /> i <br /> sAR S�NKS -- � TOTAL FEE 5 <br /> { R DRAINS - RAIN LEADERS S � OO � <br /> ' $MOYMER ATNS THIS PEFMIT AKOMES NULI AND VOID IF WORK OR CONSTRUG j <br /> � ' = SERVICE INKS 110N AVTHOFIZEU IS NOT COMMENCED WITHIN 120 OAVS, OR IF <br /> CONSTPUCTION OF WOFK IS SUSPENDED OP ABANDONED FOR A <br /> AG UMP PERIOD OF-120 DAVS AT ANV TIME AFTEF WORK IS COMMENCED. I <br /> 1 URINALS . � HERE6V CERTIFV 7NAT I NAVE FEAD ANO E%AMINED THIS AP- <br /> � NATEM CLOSETS FLICATION AN� KNOW THE SAME TO BE TRUE AND CORRECT. ALL I <br /> wATEH MEATERS - ELECTRIC � PROVISIONS OF L!!WS l�ND Of1OINANCES GOVERNING THIS TYiE I <br /> . WA$H! I � OF WOHY. WILL BE COMPLIED WITH WNETMER SPECIFIED HEREIN <br /> � (,� Y AVS OR NOT. THE GRANT�NG OF A �EHMIT DOES NOT PRESVME TO <br /> � GIVE AVTIiOPITV TO V�OLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE ON LOCAL I.AW REGULATING CONSTRUCTION <br /> � � Oli TNE PENFORMl�NCE OF CONSTR CTION. <br /> f � <br /> � sus�or�� � <br /> ��nr � X � ' OJI'nQ � 1`� b <br /> ATEN SERVICE SIZE BLDG. SUPPLY SIZE SIGNATUREO ONTRACTORORAUTH.AGENT D E . <br /> EID YARDBETSACK SiREETSETBACK REARVAFOSETBAC PLANCNECK V ER PIANCHECKFEE '. <br /> 5� Z0� ZO� �BIS3Z FFE ZB9.00 RECEfPT NO. ' <br /> USE 20NE LOT AREA VACANT 51TE 33026 <br /> R_� ❑vE5 �+o FEES VALUATION FE[ <br /> TY OF CONST. OCCVPANCY GROVP UNI1�5 DWELLING � <br /> II D-� <br /> S�ZE Of HLOG. NO.OF STORIES MAX.00C. LOAD BUILDING s :100�000.00 437 I OO <br /> PWMBING A � OO �, <br /> IP ONE ' 9A5 Ni FIRESPRINKL RS i <br /> HEOUIPED MECHANICAL S � OO � <br /> j • �'ES ❑NO ___ � <br /> I <br /> SFECIAI CONDITIONS: OTHER I <br /> . .�— -�— i <br /> PENALTV SEC. 30JIe1 � � <br /> . � � TOTAL 446 I 00 � <br /> � I V IOATION ' � y � � ' <br /> ���/�� v YA�M FD I IN 1HIF SPqCE 1 1 1 l' R PERMIT <br /> D �o � <br /> __�-'� ` R RECEIP't, . YOtf R RECEI�''�" <br /> ,t TH1�1G YOUw <br /> �PPIiCRtIOu 'CF ONY 11NSCN4CYIUbY. —��^PPOVIUIOFI!RU� . '`j� YOU �• � � � <br /> � _ I{� � ' ... . . . � �� <br /> x`Ci � "�'� •n <br /> � ' ' � � �Z • :i <br /> A�U,R ES {�l�P I$_ : �.. ,. . ..._ �� _.. <br /> �� <br />