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4(0- <br /> Washington State Department of <br /> Project Comment Form c Health <br /> March 28,2018 <br /> Construction Review Services <br /> Project Information: <br /> PO Box 47852 <br /> CRS# 60838067 - 111 Israel Rd.SE. <br /> Tumwater,WA.98501 <br /> Everett Center www.doh.wa.gov/crs <br /> Chapter 388-97 WAC Nursing Home tel.360-236-2944 <br /> fax.360-236-2321 <br /> Project Title: 730 Gallon Diesel Fuel Tank Upgrade <br /> Project 1919 112th St SW Electronic Submittal. Plans will be delivered to: <br /> Location: Everett,WA. 98204 Name: Karl Hernandez <br /> Email: karl.hernandez@genesishcc.com <br /> Local Permit#: Phone#: 425-513-1600 <br /> Key Contacts: Company Name Phone Email <br /> DOH Reviewer — — KevinA Scarlett RA HFDP (360)236-2949 kevin.scarlett@doh.wa.gov <br /> Facility Contact: Genesis HCC Barry Kriewald 425-513-1600 barry.kriewald@genesishcc.com <br /> Facility Admin.: ------._._ <br /> ------------------------ <br /> ------ ---- <br /> Arch./Eng.: D Square Energy LLC Don Dunavant 425-888-2882 d2@d2energy.com <br /> ---------------------- ---- ------ ---------- ----- <br /> Other: Genesis HCC Greg Schroeder 205-510-9106 gregory.schroeder@genesishcc.com <br /> Other <br /> Other <br /> Other: <br /> ---------- <br /> - ------------------------ <br /> Local AHJ: City of Everett Tony Lee (425)257-8812 TLee@everettwa.gov <br /> Addt'1 Copies To: ❑ L&I Electrical Section 0 L&I Factory Assembled Structures ® Local Electrical AHJ <br /> Project Status: <br /> -Authorized to Begin Construction- <br /> Comments are NOT APPROVED <br /> The Construction Documents have been reviewed and found acceptable. All plan review comments have not been <br /> approved. Construction can begin, subject to construction permitting from the local building official. See page two <br /> for important next steps. <br /> A2BC <br /> Preliminary Initial Issued All Approved <br /> Conference Plan Review Construction Comments Closeout Inspection to Use <br /> Completed Completed Begins Approved Completed Required Space <br /> N/A Yes Yes No No •• . • • <br /> • • <br /> Yes ; ; No ■ <br /> Construction review process ■ p • <br /> Plan Review Comments for Project 60838067 <br />