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the Evergreen <br />CITY OP <br />everett <br />CITY MALL 2598745 <br />EVERETT, WA 98201 <br />r` 'ONSTRUCTION' <br />PERMIT <br />❑ COMBINATION ❑ BUILDING xx MECHANICAL <br />PERMIT NO. 13121 <br />❑ PLUMBING <br />OWNER <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />YMCA <br />2720 Rockefeller <br />Everett 98201 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 3 <br />Cole Industrial 5924 203 S.W. Lynnwood 98046 774-6602 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP . PHONE LICENSE 3 <br />CO LE IN C2720R <br />1L.. V --- <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />3 <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDNJANCES <br />LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR CCNESI <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT —BLOCK —OF <br />- <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL AW REGULATING fONSTRUCTION OR THE <br />PERFO ANCE OF CONST ION. <br />SIGNAT CONTRACTO AUTH ED AGLrvi DATE <br />JOB ADDRESS <br />X 3/15/84 <br />2720 Ro ke <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO.1 <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — M.P. EA. <br />LAVATORY(WASH BASIN) <br />BOILERS — HP.EA.00 <br />SHOWER <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />W12 <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEA tERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAL <br />S <br />SUBTOTAL S <br />12 <br />OO <br />PERMIT <br />$ <br />PERMIT S <br />in <br />tin <br />TOTAL FEE <br />S <br />TOTAL FEE S <br />2 <br />00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE. <br />❑YES GNO <br />TYFE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ <br />S1ZE OF SLOG. <br />ND. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRZ ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />22 <br />00 <br />.'YES i_'. NO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B.C. <br />SEC. 3031a) <br />_ <br />2. BUILDING PLANS <br />TOTAL <br />22 <br />OO <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />S.GRAOING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THbSfPrCCE) THI^j,.%Y(�j P�EFj(AAIT <br />(( GATT U L( L( U U <br />CV) <br />A''''IJ R RECEIPT r+ <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPfl. FOR ISSUANCE BV <br />VHNK YOU <br />I6ka84 <br />ADDRESS FILE <br />