Laserfiche WebLink
�heCvergreen �� ''^ONS� RUCTION� � <br />CITY OF � <br />QV��Q� PERMIT pERMIT NO. 07306 <br />CITY HALL 259�8745 <br />EVEREIT, WA 98201 ❑ COMBINATION ❑ BUILDING C��iNECMANICAL ❑ PLUMBING <br />OWNER MRILAODRE55 CITY ZIP PMONE <br />Henry Haverlock 408 Rockefeller 98201 252-8531 <br />ARCNITECT OR DESIGNER MRIL ADDRE55 iITV 21P PNONE <br />GENF.RAL CONiRACiOR MAIL AD�HE55 CRV ZIP PMONE �IGENSE � <br />Same <br />MEGHI.NICAL CONTRACTOR MAIL AUDRESS pTY ZIP PNONE LIGENSE � <br />PW MBING CONTRACiOR MAIL AUDRESS CITY ZIP PHONE LICENSE � <br />CU55 OF WORK <br />I.]NEW ❑f,DDIT10N ❑ALTERA7ION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />s <br />DESCRIBE WORK <br />PROfO5E0 <br />ISHOW BEIOW OR ATTALN FOIIR COPIF.51 <br />LOT BLOCK_,_OF <br />oe �coRess� <br />408 Rockefeller <br />PlUM61NO <br />%ITCHEN SINK 6 DISP. <br />DISHWASHEH <br />_ LAUNDRY TMY <br />CLOTHES WASHER <br />WAiER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DMIN <br />VAGUUM BREAKERS <br />ROOF DRAINS — RAIN <br />SINK ISERVICE -- BAR. <br />USE ZONE <br />FIRE <br />LOT AREA <br />1. EIVVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIHE PROTECTION SVSTEM <br />5. GRADrvG <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH �ISTRICT <br />APPLICATION ACG. BY PLANS CHECKED BY <br />REAR YARD SEfBACK <br />❑YES ❑NO <br />NO. OF DWEILING UNITS <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO 9E TRUE AND CORRF:.�. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING � HIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO• <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMAN E OF CONSTRUCTION. <br />SIGNAT}� OF CpNTRACWR OR A h10RRED F.NT DATE <br />% �%� <br />X � : �i, ;. ibf� ;,lUa c-.U' 3/10/80 <br />TYPE OF EOUIPMENT � FEE <br />COND. UNITS — H.P. EA. <br />RIGERATION 11N1T5 — H P. cA <br />GA$ FIRED A.C. UNITS — TONNAGE EA. <br />FOflf,ED AIR SYSTEMS — B.T.U. M <br />WALL HEATERS — B T.U. M <br />UNIT HEATERS -- B.T.U. M <br />EVAPORATIVE CAOLERS <br />VENTILATION FAN <br />AIR HANDLING UNIT — <br />ME7AL FIREPLACE 8 CHIMNEY <br />FEE � RECEIPi NO. <br />AUILDING E <br />MAX.00C.LOAD <br />PLUMBING <br />FIRE SPRIHKLERS <br />REOUIRED MECNANICAL 7 00 <br />❑YES ❑NO _ <br />er DATE OTHER <br />PENALTV U B C. <br />SEC. 303 (a) <br />TOTAL 7 00 <br />AFPR. FOR ISSUANCE BY <br />WHEN PROPERLY VALIDATED (IN THIS SPACEI7HIS IS YOUR PERMIT <br />931 � soo�.00 —�� <br />� <br />YOUR RECEIPT� <br />TH/�NK YOU <br />