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(h�(irCrcrcen ; CONSTRUCTIO' , <br /> �verett PERMIT PERMIT NO. 124`��5 <br /> CITY MALL 259�BI<5 <br /> EVERETT.WA 98201 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWHER M4�L�ODRE55 dtY ZIP PMONE <br /> Providence Hospital 916 Pr.cific Avenue Everett <br /> RflCHREGT OR DESIGNEP MPIL RDDRESS GTY ZIP FHONE <br /> GENEPALGGHiPeGTOP MAILAOORC55 GIiY ZIP VMONE UCLNSE� <br /> Newlar9 Construction <br /> MEGNnNIGqLCONTflAGiOR MAILRDDRESS QTY ZIP PnONE LIGENSE� <br /> PWM9ING CONiR�CTOR N.AIL ADpRE55 GITY 21P PXONE LICENSE 1 <br /> GU55 OF WORK <br /> D NEW ❑ ADDITION ❑ ALTERATION O REPAIR �DEMOLITIOtd ❑ FENLE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VRIURTiON OF WORN <br /> s <br /> OESCRIBE WONN <br /> Demolish interior third floor north <br /> PROPOSEO USE OF BUILDING <br /> Hospital I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND �KNOW THE SAME TO BE TRUE AND <br /> LEGRL OESGRIPTION OF PROPEPTY�SMOW BELOW OR ATTAGM FOUF COPIFS) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANC�S <br /> • GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �oT_e�ocK_oF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PqESUME TO GIVE AUTHORITY TO VIOLATE <br /> 6R CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW FEGULATING CQNSTRUCTION OP THE <br /> PEFlFORNIANCE OF ONSTRl1CTION. <br /> JOB�DDRE55 SIGNRTVPF.OF ' G � ONP�U�iH/OR�12F,�yAG T �4TE <br /> 916 Pncific X �s ��//� 9/:i0/83 <br /> � <br /> PLUMBIN6 MECHANICAL <br /> N0. TVPE OF FIXTURE OH ITEM FEE N0. TYFE OF EOUIPMEN7 fEC <br /> WATERCLOSET IiOILED AIR LOND.UWTS—H.P.EA. <br /> BATHTUB REFPIGERATION UN�TS — H.P.EA. <br /> LAVATOPY�WASH BASIN� BOILEPS— H.P.EA. <br /> £MOWER GAS FIRED A.G UNITS—TONNAGE EA. <br /> KITCHEV SINK 8 OISP. FORCED AIR SYSTEMS—flT.U. M EA. <br /> DISHWASHER WALL MEATERS— B.T.U. M <br /> LAUNDRYTRAY UNIT HEATERS— BT.U. M <br /> CLOTNES WASMER EVAPORA7IVE COOLERS <br /> W�TER MEATER CIOTHES ORYERS <br /> — �q�N�� VENTILATION PPN <br /> �RINNING FOUNTAIN RANCaE HOOD <br /> FLOOA DRAIN AIR NANDLING UNIT-� QF.M. <br /> VACUUM BREANERS STOVE—WDOD <br /> ROOF OPAINS— RAINLEADERS METAL FIREPLACE 8 CMIMNEY <br /> SINK�SERVICE—BAR.ETCJ FI�iEPLACE Ih�ERT <br /> HEAT PUMP <br /> SUBTOT�L 6UBTOTAL f <br /> PERMIT f PERMIT f <br /> TOiRLFEE f TOTALFEE f <br /> SIDE YARD SETBACK STREiTSETBACK REAR YARD SETBACN PLAN CHECK NUMBER VLAN CMECKFEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT APEA VACAN7 SITE 'FEES VRLUAiION FEE <br /> :.YES � NO � — <br /> TVPE OF CONST. OCCUPANCY GRDUP NO.OF OWELLING UNITS <br /> BUILDING f �� <br /> SI2E OF BLDG. NO,OF STOPIES �t�/+x.OGC. LOAO <br /> PLUMBINO <br /> FIRE20N[ BA$[MENT FlRESPFINNLERS MECHANICAL <br /> REOUIRED <br /> YES NO <br /> RPPROVALS BY DRTE OTHEH <br /> t ENVIRONMENTAL CMECK L15T PENALTV U.B.C. <br /> S6C.303�a1 <br /> 2.BUILDMCa PLANS <br /> TOTAL 00 OO <br /> 3.FIPE HVDRANT <br /> 4.FIRE PFOTELTION SVSTEM PERMIT VRLIDIITION <br /> 5.GRADING WHEN PROPERLY VALIDATEDpN Tk1��f�0�E�TH11'1�1'�Ilp qFiR.AIT ��_� <br /> � V J U V <br /> 6.DRAINAG[ . � <br /> 7.ENVIRONMENTA�IMPACTSTATEMENT p � <br /> B.MEALTHOISTRICT ��'. � �J �l R'rCFIFT �. . <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> � •� �!� � �)i� <br /> — S Ul.� OJ <br /> AI`DRf:55 FILC <br />