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� - <br /> � ���° ^ C �NSTRUCTION � �" . <br /> everett PERMIT PERMITN(�_ 20J39 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ pLUMBING ❑ SIGN <br /> ONTIER MRILAOpqESS CITY ZIP PMONE <br /> � <br /> �erett General Hi�(Y Hospital P.O. Box 1147 Everett 98206 258-6 <br /> RRCNITECTOIiDE51GNER MAILAO�R[55 CITV ZIP PMONE <br /> GENERRL CONTRACTOR MAIL AODRE55 CITV ZIP PHONE �ICENSE• <br /> MECHRNILALCONilIRf,TOP MAILAODRESS dTY 2iP PHONE LICENSE� <br /> MacDonald Miller Co. 11063 Pacific Hwy S. 98168 763-9400 Mp nnM�daTa <br /> PLUM�ING CONTHRCTOR MAIL ApDl1E,.S CITY ZIP PHONE �ICENSE� <br /> CUSS OF WORN <br /> �l NEW G AUDITION ❑ ALTEpATION ❑ REPAIR O DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WOfiK <br /> S <br /> DESCRIBE WOlIK <br /> Install HVAC systems and plumbing per plans. <br /> NEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE O OTHER <br /> PROPOSEp USE OF OUILOING <br /> Medical Office Bldg, I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGALOESLRIPTIONOFPROPERTY�SNOWB[LOWORATIACHFOURWPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. AlL PHOVISIONS OF LAWS AND ORDINANCES <br /> �or_eiocK _ ov GOVEFNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF q <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB RDDRESS SiGN UR[pF CONTqq TOP AUTNORIZEO Af.ENT,OIt OWNER OATE <br /> 1321 Colby Ave. J( ���__ [r <br /> PLUMBING MECHANICAL � / <br /> NO. TYPE OF FIICTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—HP. <br /> BATHTUB REFRIGERATION UNITS—HP EA. <br /> ZQ LAVATORY(WASH BASIN� lZ BOILERS—B.T.U.1H P. <br /> SHOWER GAS FIRED AC.UNITS— <br /> �.T U <br /> KITCMEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLHEATERS—B.T.U. M <br /> LAUNORV TRAY UNIT HEATERS—BS.U. M <br /> CLOTHES WASHER Z EVAPORATIVE COOLERS <br /> �'Z �R�NA� CLOTHESDRVERS <br /> ( DRINKING FOUNTAIN <br /> 1 VENTILATION FAN <br /> lZ FLOOR DRAIN RANGE NOOD <br /> j 2 BACHFLOW PREVENTERS 1 yjq7ER HEATER • <br /> Z;j HOOFORAINS—RAINLEAOEHS WOODSTOVE <br /> 1 SINK(SERVICE—BAP,ETC.) METAL FIREPLACE 8 CFIIMNEY <br /> PIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> :.,. _..� . . .......� <br /> 1 E%HAUST FAN � "' -` � <br /> SUBTOTAL S SUBYOTAC� � <br /> PERMIT S PEHMIY�,�. � " <br /> TOTAI FEE S TOTAL FEE " <br /> FnoNTSE*encK nEnnSETenCrc SioESEronCrc LANCHECKNUMBER FEE"',""-' +RECEIPTNO. <br /> USE20NE LOTnR[A . . . YS� l.Cl�i <br /> �ACFNT SITE � ��� <br /> ❑ves ❑r�o FEES �VALUA710N FEE <br /> TYPEOFCONST OCCUFqNCVGqOUP NOOFDWEILINGUNITS �UILDING 5 <br /> PLUMBING <br /> SiZE Of pLDG NO OF STOPIES MRX OCC LOqO <br /> MECHANICAL 8 <br /> INVESTIGATION FEE Sec J04�e) <br /> FIRE SPRINKI.ERS REOUIRED ❑VFS ❑NO <br /> STATE BUIL�ING SURCHARGE <br /> APPLICRTIONACCOY PLANSCHECN[p8Y APPRFOPISSUANC[pV STATEEN[RC�YSURCHMGE <br /> DRIVEWAV PERMIT <br /> J.W. J.W. <br /> TOTAL 517 50 <br /> PEPMIT VALIDATION <br /> WHEN PfiOPERLV VAl10ATED�IN THIS SPACE�'HIS IS VOUR PERMIT <br /> Q� <br /> �� <br /> �..�� <br /> 0 <br /> N <br /> i�,� . � , ..=� i :. .. <br />