Laserfiche WebLink
t4e Etiergreen <br />(;ITY OF <br />ever�ett <br />259-3745 <br />t"'�NSTRU�TION -_- _ <br />F�EPlMIT PERMITNQ:=��`��� <br />❑ DEMOLITION � CQMBINA�IOA,i ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />ONRJER fAqiLA�_RE55 CITY ZIP PHONE <br />JOSE NEPPERS 300 - 120th Ave NE Bldg 7 Suite 200 Qellevue WA 98005 206-455-0090 <br />ARChITECTOBDE5IGNER Mnll'.L�11E5'i CIiY ZIP PHONE <br />GENENRLCONTRACTOR AIqIl10�fVE55r LCY iIP PHONE LICENSEN <br />SY�!(�X Norcoast Pacific <br />MECMnNICALCONTRACTOR MAtLaDOPL55 CITY ZIP PMONE LICENSE� <br />PWMBWC.CONTRACTOR \'AiLA00f±E5: QTY ZIP PNONE LICENSE� <br />CLA55 OF WORK <br />❑ NEW [1 ADDITION � ALTERATION ❑ I7EPAIfl ❑ DEMOLITIOiV ❑ BUILDING REi iCATION <br />V:� .UA i IOH Ci� N'ORK � <br />s 20,000.00 <br />OFSCNIAE WOPN <br />Stucco walls and paint; add small cocktail lounge <br />❑ ELECTRICITY <br />PR�POSED USE OF 9L <br />Restaurant <br />LOT __ B�OCK _ <br />❑ GAS ❑ FYOODSTOVE ❑ OTHER <br />1305 SE Everett Mall Way Bldg 4 <br />PLUM9�NG <br />WATER CIOSET (TOILET� <br />BATHTU6 <br />LAb'ATORV (WASH BASIN� <br />SHOK:R <br />KITCHEN SINK 8 DISP. <br />UISHWASHER <br />L�UNDR�TRAV <br />CLOTHES WASHEF <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFIOW PREVENTERS <br />HOOF JP.4!NS — RAINLF ��DERS <br />SINKlSEPVICF—RAR FT.C.1 <br />rYPE OF CONS'f <br />hPPUCATION ACC BY <br />mm <br />SUBTOTAL <br />PERMIT <br />TOtAL FEE <br />OCCUPANr,y GFOUP <br />F L�N : CHECKED 6Y <br />ief <br />�E: <br />VACANT $iTE <br />❑,E5 CN� <br />NO CFpWEILWGUNITS <br />qPPF. FOq ISSUANCE �v <br />lc <br />I HEHEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />AFPL�CNTVON AND KNUW THE SAtiiE TO BE TRUE AND <br />CORRECT. ALL PROVI5ICNS C� LFWS AND ORLIINANCES <br />GOVEfiNING TNIS TYPe CF WOHK. WILL BE COMPLfF.� W�TH <br />WHETHER SPEGIFIED HERJR! OR �OT. THE GRA�TING OF A <br />PERMIT DOES NOT PRESI'ME TO GIVE AUTHURITY TO <br />VIOLATE OR CANCeL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW FEGULATING CONSiRUCTION OR <br />THEPEflFORMANCEOFCONSTRUCTION. <br />SIGNFTUPEOFCONTjiqCtQF,AUTNOPV40AGENT.OR0IYNER �ATE <br />TYPE CF EQl;lf <br />A/C — A/HNDLG UNI15 — HP. <br />REFRIGEHATION UMITS — kf�f�� <br />BOILERS—B.TLJHP. E?� <br />GAS FIRED AC. UNITS — B.� <br />FORCED AIR SY57EM5 — B.E:I. <br />WALLNEATERS—�.T.U. C <br />UNIT HEATERS — �.T.U. <br />EVAPORATNE COOLERS <br />CLOTHESORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />LVATEF HEATEfl � <br />WOODSTOVE <br />METAL FIR=PLACE 8 CHIMNEV <br />FIREPL:.CE INSC-RT <br />HEAT Pl l'AP <br />GAS PIPIIJG <br />E%H.1UST FAN <br />PLAN CHECK NUMBEF <br />86;17427 <br />FEES <br />eu��oin�:� <br />PLUMB�NG <br />fdECHANICP.L <br />INVESTIGATION FEE <br />STATE BUILDING SU <br />EA. <br />M <br />M <br />SUB TOTAL <br />FERMIT <br />TOTALFEE <br />FEf REf,EIPT NI <br />1.,4.55 I 833�0 <br />STATEENERGYSURCHAFGE <br />DRIVFWAI' P�RMIT <br />E <br />Sec.304(?) <br />FEE <br />TOYAL I I = <br />PERMIT VAl1DATIGN <br />WNEY FROPEflLY VALI�ATFC �IN 1HIS SPACE) TIIIS IS VOL'F� PEFMIT <br />1�50 <br />L� <br />N <br />•d- <br />s- <br />� <br />