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thcEuCie�TYO C �NSTRUCTION <br /> everett PERMIT PERMITNO. _ 2� SAO <br /> 259 -8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILAD�PESS CITY ZIV PMONE <br /> Evexett General Hospital P.O. Box 1147 Everett 9f3206 258-6300 <br /> TENnNT AIAILADORE55 CiTY 21P PHONE <br /> PRCRiTEGTOR�ESIGNER MRILA��RESS CITY ZIP PMONE <br /> GENERALCONTRRCTOR AIAILADL�RE55 CITV 21P PMONE LICENSE� <br /> VECIIANICA�GONTRAGTOR MAILRDORE55 CITY ZIP PMONE LICENSEM <br /> Macdonald Miller Co. 7717 Detroit SW Seattle 98106 763-9400 MACDOM248J9 <br /> PWMBINGCONTRNCTOR MAILAODPESS CITV ZIP PHONE LICENSE• <br /> Cl/SSOF WOPM <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATI N <br /> GONTACT PERSON AND PNONE NO.IF OTHER tMAN PBOVE <br /> CONTRACT PRICE OF WORK $ <br /> �ESCRIBE WORN AND SOUARE FOOTAGE INVOLVEO <br /> Add diffusers and ductwork <br /> PROPOSE�USE OF BU�LDING <br /> H Medical Office <br /> LEG/L DESCRIPTION OF PROPERtY(SHOW�ELOW Ofi ATTACH FOUR COPIESI <br /> LOT�- BLOCR—OF <br /> Pacific NW Sur ical <br /> JOB ADDRE55 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FU(TUNE OR ITEM <br /> FEE NO. TYPEOFEOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. <br /> FORCED AIR SYSTEMS—B T.0 M EA. <br /> BATHTUB <br /> LAVATORY(WASH BASIN) _ UNIT HEATERS—B.T.U. M <br /> CLOTHES DRVERS <br /> SHOWER <br /> KITCHEN SINK 6 DISP. VENTILATION FAN <br /> DISHWASHER RANGE MOOD <br /> WATER HEATEFl <br /> LAUNDRVTRAY WOODSTOVE <br /> CLOTHES WASHER <br /> METAL FIREPLACE d CHIMNEY <br /> URINAI <br /> FIREFLAGEINSERT <br /> DRINKING FOUNTAIN <br /> HEAT PUMP <br /> FLOOR DRAIN <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOFDRAINS—HAINLEADERS E%HAUSTFAN ` ` <br /> SINK(SERVICE—BAR,ETG) <br /> Duct work 5 <br /> � <br /> sue t 6 50 <br /> SUBTOTAL s S 15 00 <br /> PERMIT S PER <br /> TOT = S � 21 SO <br /> TOTALFEE f <br /> FRONTSETBACK REAR SETBACK <br /> Si�E SETBnCN PLAN CHECK NUMBER ` EIPT NO. <br /> USE 20NE LOT AREA VACANT SITE FEES BUILOING COOE FEE <br /> ❑YES ❑ NO S <br /> 7YffOFCONSiFlICT10NALLOWABIE iVi'40FCONSiNUCiIaNALiUAL <br /> �o��� r+o orOwEuiNGUnrts BUILDING <br /> PLUMBING <br /> SIZEOFOLOG NOAFSTORIES OASEMENT 2], SO <br /> ❑YES ❑ NO MECHANICAL <br /> OCCUPANCYLOAD FIRESPRINKlEP5FE00 NEIGHTLIMITATION OTHER <br /> ❑YES ❑ NO <br /> STATE BUILDING SURCHARGE <br /> FEASON FOR SPfiINKLERS <br /> STATE ENERGY SURCn.'."�E �� <br /> APPLICA710NACC OV PLANSAPPROVED�Y CITY OF EVERETT pUBLICWORKS � <br /> LOCAL SALES <br /> TAX CODE IS TOTAL zi So <br /> S.H. 3105 WHEN PROPERLY VALIDAI ti�THIS IS YOUR PERMIT <br /> PE.AMITS EXPIRE IF WORK IS NOT COMMEN�:ED WITHIN ADDf,ESS FILE � I U 4 U <br /> ;80 DAl'S OR CEASES FOR MORE THAN 180 DAYS. <br />