Update to scope, rehabbing 3 cooling towers, 2 chillers, 4 air handlers for vanderbilt east and running chilled water lines from vanderbilt east to vanderbilt imaging. To rehab cooling tower in penthouse area of ninth floor for vumc.

To construct a connector bridge for vumc and conduct medical center east improvements for vumc

To convert existing 8th floor of mce tower to inpatient beds for vumc. Dustin ranger 615-377-3666

Renovations to xray room 4418 vumc poc betsy ball 615-321-4499

To conduct demo work to exterior of floors 6-9 and selective interior and penthouse in preparation for future connecting bridge project permitted under t2017029229. No construction work under this permit. Demo only. Pursuant to ordinance no 2008-1263 of the metropolitan code of laws, i , holder of this permit, hereby certify that all construction and demolition waste generated by any and all activities governed by this permit shall be disposed of in an approved landfill. Further, i certify that no construction or demolition waste shall be stored on the property in violation of any provisions of the metropolitan code. For every feet of street frontage, or fraction thereof, one 2 inch caliper tree as listed in the urban forestry approved tree list shall be planted on the subject property.