Laserfiche WebLink
d�r !_1�eiRreen <br />c:tv ot� <br />��erett <br />CITY HALL 259�8745 <br />� (�Ot�STRUCT�Q'� <br />PERMIT PERMIT NO. 122g7 <br />EVERETT,WA98201 ❑ COMBINATION C�.�, BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNE� MAIL A��RE55 CITV ZIP PNONE <br />� Colliery Restaurant 7601 Evergreen Way Everett 98204 <br />ARCHREG� OH DESI�INER <br />MAIL A�DRESS CITV 21P PMONE <br />GENE(iAL CONTFAGTOR MAIL ADDRESS <br />CITV ZIP PNONE LIGENSE � <br />S& S Sign Co. 13190 Stone Avenue i�ORTH Seattle 98133 365-0212 29066 <br />IAEGMANICAL GONTPACTOR <br />MAIL AOOFE3S GTY ZIP PHONE LICENSE d <br />PlUId01NG CONTRAGTOR <br />MAII AOONESS GRY ZIP PNONE UCENSE � <br />3a00.00 <br />ESCRIBE WORK <br />�}NEW O ADDITION ❑ AITERATION ❑ AEPAIR ❑ DEMOIITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />install non illuminated s <br />LOT_����K_OF <br />O1 Evergreen Way <br />PLUMBING <br />TYPE OF FIxTURE OR <br />W ATER GLOSET ITOILE� <br />BATHTUB <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUND7YTRAY <br />CLGTHES WASHER <br />WA�ER HEATER <br />URI�AL <br />ORIAKING FOUNTAIN <br />FLOGR DRAIN <br />VACUUTA BREAKERS <br />ROOF �RAINS — RAINLEAOERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />70TAL FEE <br />SIZE OF BLDG. <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4.FIFiEPROTECTIONSYSTEM _ <br />5. GRADING _ <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HCALTN DIS7RICT <br />earn iCATION ACC. BY I �'LANS CHE <br />RF <br />FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />GOVERN NG THIS TOYPIEIOF WOflK WILL BErJC MP�LIED WITH <br />WHETHER SPECIFIED HEAEIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CAtJCEL T E P OV S Pl Y OTHER STATE OR <br />LOCAL W RE ,UL TIN CONS UCTION OR THE <br />PERFORyI N E CO. S�TR CTION. <br />SIGNATURE�J GO iR OR OR f�GiHO IZgD AQEryT OATE <br />X � �''� �V � � / G'V �� � <br />NO. <br />5 <br />5 <br />5 <br />REAR VARD SETBACK P�N <br />VACANT SITE <br />YES NO <br />OCC. <br />Yt5 <br />�'� IAPPR.FOR <br />NV <br />AIA COND. UNITS — H.P. EA. <br />REFRIGEFiA710N UNITS — M.P. EA. <br />BOILERS — H.P.EA. <br />GAS FIRED A.C. UNITS — 70NNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M[A. <br />WALL HEA7ERS — B.T.U. M <br />UNIT HEATERS — B.T.U. �+� <br />EV� PORATIVE CCOLERS <br />CLOTHES DHYERS <br />VEN7ILATION FAN <br />RANGEHOOD <br />AIR HANOLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FiREPLACE 8 CHIMNEY <br />FIREPLACE INSEFiT <br />HEAT PU�dP <br />BUIL�ING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />SUB TO7AL 5 <br />PEfiMIT 5 <br />707ALFEE 5 <br />PLAN C' <br />FEE <br />VALUATION <br />53,000. <br />RECEIPT NO. <br />FEE <br />12 � 00 <br />PENALTY SEC.3031a) <br />TOTAL 12 00 <br />PEHMIT VALIOATION <br />WHEN PROPERLY VALIDATED (IN THIS�li AOC�) THIS j5oY0i qPF�i�q1T-- � <br />/ � 1 UU <br />,,, ,- .,;� <br />N <br />N <br />`rO�JR FECEIPT`� <br />T; ;.Aidf: YOU <br />1 I �� 8 3 <br />,� <br />