Laserfiche WebLink
the Evergreen CONSTRUCTION <br />CITY OF PERMIT <br />everett <br />CITY HALL 259.8745 <br />EVERETT, WA 98201 COMBINATION a BUILDING • MECHANICAL • PLUMBING <br />OIYNER MAIL ADDRESS ZIP PHONE <br />Florence Olson 3607 Rockefeller <br />❑COMBINATION <br />❑ BUILDING ❑ PLUMBING ❑ MECHANICAL <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />LOT BLOCK —OF— -.- <br />JOB ADDRESS <br />3607 Rockefeller <br />PLUMBING <br />MECHANICAL <br />TYPE OF ENERGY <br />AIR <br />ION I <br />EA. <br />GAS <br />ELEC. <br />HOOF DRAINS - RAIN LEADERS i TOTAL FEE 51 1 <br />SHOWER BATHS THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />SERVICE SINKS f TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />SUMPS - SEWAGE PUMP CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />URINALS PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />WATER CLOSETS 1 1 HEREBY CERTIFY TFL,T 1 HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />WATER HEATERS - ELECTRIC I PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />WASH BASINS IOn OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />LAUNDRY TRAYS OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAZY REGULATING CONSTRUCTION <br />I OR THE PERFORMANCE OF CONSTRUCTION. <br />SUR TOTAL 4T0 <br />PERMIT S Z 0 � <br />TOTAL FEE )( $/2/78 <br />WATER SERVICE SIZE BLDG. SUPPLY SIZE SIGNATURE OF CONTRACTOR AUTH. AGENT DATE <br />SIDE YARO SETBACK STREET SETBACK REAR YARDSETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br />FEE IREC_PT NO. <br />DYES ONO I FEES I VALUATION FEE <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />BUILDING <br />$ <br />PLUMBING <br />7.00 Ax GQX[ <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />OYES ONO <br />ME'HANICAL <br />1 <br />SPECIAL CONDITIONS: <br />OTHER <br />1 <br />PENALTY <br />TOTAL <br />SEC. 303(a) <br />I <br />I <br />I <br />PERMIT VALIDATION <br />WHEN PROPERI Y VALIDATED <br />(I �Itlg6PACj..fR+E RM11 <br />1 <br />- <br />YOUR RECE1P <br />APPLICATION RCEPTEUBY; PLANS CHE CKE 1) BY: <br />APPNUV E U 1014 ISSUANCE By <br />THANK Y613,`"') <br />�i <br />eb <br />ADDRESS <br />FILE <br />•,2 MY 71 <br />