Laserfiche WebLink
��nPPLICATION FO� <br /> ��""" CONSTRUCTION � <br /> everett PERMIT <br /> i0 BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPT. <br /> 259-8745 ❑ COMBINATION ❑ BUILDIN� ❑ MECHANICAL ❑ PLUMBINfi ❑ 81(iN <br /> OWNER MML�ODRE59 GTY iiP PNO��E <br /> Providence Ilospital Post Ot[ice Box 1067 Everett 98206 256-7414 <br /> �PC��I1CCiONOESiONER u��U0DRE39 GITY zlP PHON[ <br /> 13otesch, Nash & Iinll Archilects, PS 4206 [foyt Ave. Everett 98203 '159-OS[i8 <br /> OENEN�L COHif1A�TOR M�IL�ODRE55 C�fY ZIP PNOH[ LICENSE• <br /> newlend Construction Co., Inc. Post Office Box 958 fiverett 98206 259-9191 <br /> MEGHeNiWIGONiR�CTOq MMIAppRE55 ' CIT ZIP 19�ONE L�LENSE� <br /> Glantz Supply, Tnc. 3332 Cedar Street Evcrett 9&201 252-2A42 <br /> PIUMBMOGONiR1ClOq M�ILADORES9 pfY ZIP PNON[ UCEHSE• <br /> 11 tl 11 11 tl 11 <br /> CL�SS Oi WONR <br /> ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRP�.INSERi ❑ BUILDING HELOCRTION <br /> WIU�TION OL WORR IGOST Of M�fCRIALS PlU9 L�Bdry <br /> 1 111illion <br /> ocxaine wonK <br /> Cornplclion o[ existing Gth Floor <br /> USE OI BUIl0�N0 <br /> Ortliopedic Nursing IVing I HEREBY CEFTIFY THAt I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUEANDCORRECT.ALL <br /> IEG�LOESCPIVT10NOfPR(1PERfY1FMOWNBELOWONIITT�CNiOURCOPlEB� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br /> io�—eioc�or IN OR NOT.THE GRAN1'ING OF A PERMITDOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL TNE PROJISIONS OF <br /> ANY OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. ^/ <br /> $ION�NPEOF NTRACTOFOFAUINORI2EOAGENT D4iEJ/'�f/� <br /> / <br /> X � � <br /> PROJF.CI�ODPE55 �VPLIC�NiS fYBUSNESSUCEN5EN0. � <br /> , n, <br /> CI (�.. �)�_� . �, <br /> PLUMBINO MECHI1i11C�L <br /> NO. TYPE OF FII{TUIIE FEE MO. TYPE OF EOUIPMENT FEE <br /> W ATER CLOSET(TOILE7) �IR COND.UNITS—H.P.EA. <br /> B�TNTUB FEFRIGERATION UNITS—H.P.EA. <br /> UVATORV(W�SH BAS�N� BOILERS—M.P.EA. <br /> S!IOWER GAS FIRED A.G UNITS—TONNAGE EA. <br /> KITCHEN S�NK 8 DISP. FORCED AIR SVSTEMS—B.T.U. M EA. <br /> DISHWASNER WALL HEATERS—BT.U. M <br /> L�UNORVTR�Y UNITHEATERS—B.'.U. M <br /> CLOTHE3 WASHER EVAPORATIVE COOLERS <br /> W�TEP HEATER CLOTHESDRVERS <br /> URIN�L VENTILRiION FAN <br /> ORINNINO FOUN7AIN HANGE HOOD <br /> FLOORDRAIN AIRHANDL�NOUNIT— CF.M. <br /> VACUUM BREAKERS STOVE _ <br /> POOFCq�INS—RAINLEADERS METALF'iREPLACE6 CHIMNEY <br /> SINN SERVICE—BAR,ETC. WOODSTOVE/FIPEPLACE INSEHT <br /> SU6 TOT11l SUB TOTl1l f <br /> ___' — _.__— _—._.. _ ____ <br /> PEPMIT • PERMIT f <br /> �OTAIFEE � TOTALFEE f <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> fpONiSCiB�CR ��E�f15'[II(1�CK SIpE5E19RCK PUNGMECKNUMBER �LRNLHLCNffE <br /> N.�• V � �103�°� reE � � �/S nccun�No 7 /J.7 K� <br /> US[20Nf l01�BEA VAC�N f 91tE <br /> R,i� ���- � OYES�10 FEE! V�LUATIOM FEE _ <br /> IYPEUfCON51 OCCUP�NCYGROUP NO.OFDWEILINpUNITS <br /> i � r O — <br /> BUILDINQ f��a�(�. � (9� <br /> 5�2E O!BI OG HO O�S101ilE3 M�%OCC.IOAp - -- <br /> S � Z) PLUMBING <br /> MECMANICAL <br /> FIRE SPRINKLERS REOUIRED YES ❑ NO --- <br /> OiHEN <br /> PENALTY <br /> Af'P4C�110N1GC.9Y PLRNSCNECNE�BY �I'Pp.I0111S4UANCEEY — <br /> '_ ��� TOT11L 2� � <br /> �� �q� L, .• G. <br /> , YVI � �C.P�t.� � Mgf�. �E=a2Mt�t5 To <br /> l'�E o�,r/�/�lc� f� f-3-g4.� Mt3.w <br /> G�+T�AGt B/V <br />