Laserfiche WebLink
rheEvergreen -- �ONSTRUCTION� � <br />CITY OF � <br />everett PERMIT pERMIT NO. 0�306 <br />CITY HALI 259�0745 <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDING C��IIAECHANICAL ❑ PLUMBING <br />OWNER MNIL4DDRE55 CITY ZIP PMONE <br />Henry Haverlock 408 Rockefeller 98201 252-8531 <br />ANCNITELT OR DESIGNER MAIL AD�PE55 pTY 21P PHONE <br />GENERAI CANTRACTOR MAII ADDPE55 CITY ZIP PNONE UCENSE ♦ <br />Same <br />MECNANICAL CONTRACiOR MAIL RDDRE55 LITY ZIP PHONE LILENSE / <br />PIVMBING fANTRPCTOR <br />ZIP PHONE IICENSE / <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DE�AOLITION ❑fENCE ❑SIGN ❑GARAGE <br />f <br />UESCRIOE WORK <br />PROPJSED USE OF BUILDIN6 <br />LEG4L DESCRIPTION OF PROPEFT <br />LOT BIOCIL_OF <br />408 Rockefeller <br />PLUMlINO <br />TYPE OF FIXTURE OR ITEM <br />DMINS — RhINI �DERS <br />iFRVICF — PAR. ETC 1 <br />SIDE YARD SETBACK I STREE7 SETBACK <br />NPE OF CANST. <br />BLDG. I NO. OF STORIES <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDINO PUNS <br />3. FIRE HYDRANT <br />�. FIRE PROTECTION SVSTEM <br />5. GMDING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT S7ATEMENT <br />8. HEALTH DISTqICT <br />APPLICATION ACC. BY PU1NS CHECKED BY <br />VACANT SITE <br />�YES ❑NO <br />APPR. FOR ISSUANCE BV <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. TIiE GRAN7ING OF A PERMIT DOES NOT <br />PNESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMAN E OF CONSTRUCTION. <br />SIGNAT OFCONTRACTOR�OR,%A �MOPi2EDr�ENt OATE <br />Y%��^. �. ... N,�L/:� L,c-1 i 3/10/80 <br />TYPE OF EOUIPMENT <br />AIR COND. UNITS — H P. EA. <br />REFR!GERATION UNITS — H.P. EA <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. I <br />WALL NEATERS — B T.U. � <br />UNIT MEATERS — B.T.U. � <br />EVAPORATNE COOLER$ <br />VENTILATION FAN <br />AIR HANDLING UNIT — <br />METAL FIREPLACE 8 <br />PIAN CHECK FEE <br />PEE I RECEIPT NO. <br />E <br />U.B.C. <br />SEC. 303 (a) <br />ION <br />VALIDATED (M THIS SPqCE) THIS IS YOUR PERMIT <br />� 11 <br />� �� <br />� <br />9311 S00].00 --� <br />ti <br />YOUR RECEIPT� <br />TNnf�lK YOU <br />ADDRESS FILE __ ( _O �AR HO <br />