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916 PACIFIC AVE 5TH FLOOR 2018-01-01 MF Import
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916 PACIFIC AVE 5TH FLOOR 2018-01-01 MF Import
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Last modified
12/13/2018 2:56:56 PM
Creation date
12/12/2018 10:27:51 AM
Metadata
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Address Document
Street Name
PACIFIC AVE
Street Number
916
Tenant Name
5TH FLOOR
Imported From Microfiche
Yes
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�hr£�•er.ereen � �O N ST R U CT I O� • <br /> everett � PERMIT PERMIT N0. 1.428G <br /> GTV MALL 239�8745 <br /> EVERET7,Ni4 9320t ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAIL AODRE55 CITY 21P PMONE <br /> Providence Hospital 916 Pacific Everett 98201 258-7123 <br /> ARGMITECT OR OE5IGNER 11AIL ADDRESS CITY 21P PMONE <br /> GE4lRALCONiXRCTOR MAILADDflE55 CITY 21P PHONE LICENSE� <br /> Newland Const. Co. Inc. P.O. Box 958 Everett 98201 RAY!(YIbER 259-9191 <br /> MECHFNIGAL CONTRACTOF MAIL AODFESS CITY 21P PNONE UCENSE I <br /> PLUMBING CANTRAGiOR MAII ADDRE55 CITY IIA PNONE LICENSE� <br /> GU&5 OF WOR1c <br /> ❑NEW ❑ ADDITION � ALTERATION G REPAIR ❑ DEMOLITION ❑ FENCE Q SIGN ❑ WOOD STOVEIFIPEPLACE INSERT <br /> VALUATION OF WORK <br /> S 82,362.00 <br /> DESCPIBE WORI( <br /> Remodel Sth Floor therapy section <br /> PROPOSED USE OF BUILOING <br /> Hos itnl I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCflIP710N OF PROPERTY(SHOW BEIOW OR ATTACN FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN__OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB FODRESS SIGNATUR�OF CONTPACTOR OR AUTMORIZED AGENT O�TE <br /> 916 Pacific X - ,�_�� /- 9-BS <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�701LEn AIR COND. UNITS— H.P. EA. <br /> BATHiUB AEFRIGERATION UNIiS— H.P.EA. <br /> LAVATOHY(WASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> KITCMEN SINK 8 DISP. FOFlCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHVJASHER WALL HEATERS— B.T.U. M <br /> LAUNDR�TRAY UNIT IIEATERS—B.T.U. M <br /> CLOTHES WASMEP� EVAPORATIVE COOLERS <br /> WATER MEATER CLOTHES DRYERS <br /> UFINAL VENTILATION FAN <br /> URIIlKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKFRS STOYE— WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SEHVICE— BAP,ETC.) FIREPIACE INSEfiT <br /> HE�7 PUMP <br /> SUB TOTAL 4 SUB TOTAL f <br /> PERMIi f PEHMIT f <br /> TOTAL F'EE f TOTAL FEE f <br /> S�DE YARD SETBHCK STREE75ETBFCK REAR YARD SETBACK PLAN CHECK NUMOEF PLAN CHECK FEE <br /> N/A N/A N/A 84/14286 FEE 248,30 RECEIPTNO. <br /> U'iE ZONE LOT AREA VACANT SITE <br /> '..YES �.XI�O fEES VRLUATION fEE <br /> TYPE OF CONST. OCCUPANCY GRO!1P NO.OF DWELIING UNITS <br /> i-FR Z-1 NA BUILDING s82�362, 382 00 <br /> SIZE OF BLOG. NO.OF GTORIES MAK.OCC.LOAD <br /> 1994 Sq. Ft. 1 N/A PLUMBING <br /> FIREZONE fIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> ES I.NO <br /> APPROVALS BY DATE OTHEH <br /> 1.ENVIRONMENTAL CHECK LIST pENALTY U.B C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANT TOTAL 382 00 <br /> 4.FIRE PROTECiION SVSTEM PENMIT VALIDATION � � I �' - � / r ^ 1 <br /> S.CRADING WHEN PROPERLV VALIDATEOON THIS SPACE)TH1315 lOUR�PERMIT (D <br /> 6.ORRINAGE � <br /> N <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � - � <br /> B.MEALTH DISTRICT � !� � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.POF ISSUANCE HY � _ �, �� J � <br /> LC HWM LC <br /> ADDRESS FILE <br />
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