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APPLICATION APPROVAL
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATI N
THE DULY AUTHORIZED AGENT OF
CALL
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THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
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FOR INSPECTION
THE OAK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
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IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
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WORKMEN'S COMPENSATION ANCE AND Hew 18:27.
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I DATE,SIGNED
771-0220
EXT. 1333
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ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGINAL FILE - YELLOW INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110.
PINK -OWNER - GOLD ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
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1troX I... medical Cases Medical G teatiorts Analgesia &MPtne'"t
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hesitate to viva our staffa call. We would he pleased toforward IT
to your office any verification reports you ir, ay require.
Nitrox Inc. was founded by B. Evan McAister in 1975 and
incorporated in 1976. "Evan" is currently President offitrox Inc.,
a Certified Respiratory Therapist, and Crededial Medical Gas
Verifier no. V-0024 ar!d Medical Gas inspecor of MGPH0. We
are members ofNFPA charter members of (J11GPH0) Medical Gas
Professional Health Grganization, (RIP.E.) Piping Industry
and Education, Better Business Bureau, W.S.S.H.E and
Progress
ASHE 6030.
We currently serve as consultants to the 6niversity of
Washington, Oregon Health Science Vnivers;ty, and the University
ofBritish Columbia,16 f- Medical -Dental Nitrcus Oxide Sedation,
piping and equipment.
Nitrox Inc. has been involved in medical gas line verfeations
in Washington, Idaho, Oregon, Montana, anclAlaska. We consult
with most major mechanical engineeringfirm s and architecty in
the Pacific Northwest concerning medical gas installationsfor
hospitals, surgery clinics, dental clinics, and veterinary clinics.
RECEIVED
FEB J'3 2006
BUILDING DEPT.
2706 '64th Street S.W., Lynnwood, WA. 98037
(425) 741-8807 1-800�736.7047 Fax; t42S) 741 �2500GITY COPY
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02/13/2006 Wee PAX 4257412500 NITROX INC 0005
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STjkrEMENT OF PURPOSE
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02-13-106 09:45 FROM -sager ruclianical 14254026721 T-332 P02/02 U-604
MICROFILMENDORSED AS PROVIDED BY TAW AS
T44iZts PAP-711 VC—PWICI1770A)
MEDICAL GAS PIPINC INSTALLER
ENDORSEMENT#
EXP. DATE
MG01 OLSONJR9439L 07/27/2007
EPPECTIVE DATE 01/13/2006
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TESTED BY:, EVA14 HARRY
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2706 164th Street S.W., Lynnwood, WA. 98037
(425) 741-.8807 1-800-736-7047 - Fax: (425) 741-2500
FINA PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDWATOR, BUILDING DIVISION
FROM: C---f .-FIRE DEPARTMENT DATE_�
ENGINEERING DIVISION DATE
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DEPARTMENT OF BUILDINGS
PER International Building Code Section 110
At: 2170176" Avenue W, Suite 204, Edmonds WA Building Permit #:_ 2006-0154
occupancy established by this certificate: Dwelling Units: —N/A- .._ No. Stories: 3
B 71 Type Construction: IIA Basement: No
Maximum Occupant Load ..8.. (Per IBC 1004)
Room capacity signs, when required, must remain posted at sit times,
Owner of Building: Stevens Memorial Hospital Corporatl2n Address: 11025 25h Avenue.S, Edmonds, WA 98020
THE Dr. Faucher Dental Office HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE 2003
EDITION OF THE INTERN IONAL BUILDING CODE AS ADOPTED BY THE CITY FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE
FOR WHICH THE PROPOSED OCCUPANCY IS CLASSIFIED�
Issued this 27th day of April 2006
CHIEF BUILDING OFFICIAL
BY:
quinas a be,16,g P-1—al a a,
Thi,r coMil.oto nall be p.,I,d in. conapich— pabli—a. and ah.11 nal a.e...d' hea "d—hro.ed.nal �h,fi b—hanoen In legibloo,nd,U-1 all Ines, Any change ol pancy or unee
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Permit Inspection Details
Permit: BL020060154
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0312412666 SNOOK 2i APPROVED
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Total Time: 25
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04120/2006 SNOOK 25 APPROVED
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Total Time: 25
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03/24i2006 SNOOK �'5�
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0312812006 SNOOK 25 APPROVED
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Total Time: 25
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0412612006 SNOOK 35 APPROVED
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Total Time: 35
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Total Inspections:
5 Total Tim.: 155
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page 1 of I
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing .. ...........
Wall ...............
Pier/Porch ............
Retaining Wall ...........
Stab Insulation
PLUMBING:
Underground ..........
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EXTERIOR SHEATHING
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NAILING ..................
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FRAMING ............ ...........
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FIRST FLOOR FRAMING
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INSULATION ...................
Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
01
SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
V-1
OCCUPANCY .............