Laserfiche WebLink
APPLICATI�N FOR CONSTRUCI .ON PERMIT <br /> CITV OF EVERETT•BUILDINV DIVISION � <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-BB10 <br /> ❑ DEMOUTIOIr ❑ COMBINATION �BUILDINO ❑ AAECHANtCAI ❑ PLUMBING <br /> PROJECTADDRESS: ��cJd� ^CER0.4� E ��VF. – EvERE'CC .�� a �3 O SI�N <br /> i� � a. <br /> �p 4ul�Od1E55 <br /> O�N r.K?:�5��'cN e�tiAR� SAME ws G AOeYF. zir v��a+e <br /> MM1n0011E55 LtIY ��� �U� ��V� <br /> M Ai A��Y� IIP PqONE <br /> � �bcafion For NCHTEGT SKiNEN M�LL�OIMESS <br /> PUBLIC VvJRKS PERMIT "" ��° „ <br /> oate CV0.t�1S F:Ect�tN�.R �j�\ S`�~Q� tvE ���.�� � `,, G <br /> o¢rftwca1ttucroa M�It�UME55 MAR`tS���\ rm � � � Y��_ Jy\� <br /> PUBL�C WORKS DEPARTMEN7 citr � tifME IICENSE� <br /> Public Works Parmit x G,0.i�az �.,,�< Ca . ��o� a`q� p� n,F <br /> 3200CetlarSlreet �'v�0.�cs�\`.� �� �����1 � \1R�\ �,�` � <br /> Everett,WA 98201 259-8810 ►�a�u.cK cp+Tn�cron Mui�op�ss an z r <br /> Builtling Pertnit N ��+a+e ST�TE IICENSE�� <br /> TYPEORPRINTONLY °�uenccaHm�cr«+ uN�,wm¢ss �iTM Z1P <br /> Plan Check No: C 54818 SEPA Sp�g_ _ ��ar�F <br /> Applicat.Date: �04/14/97 SiAtEIICENSE� <br /> Job Addreee: 45be rlERRACE DR ow�rw�cTa�cEav,d�c <br /> owner: aoHAR2' DON/KRISTEN ��� HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> Ownar Tenant: o[g�waruosauncroot�wvavco �O , <br /> Propoaed Uee: SINGLE FAMILY RESIDENCE Phone coe�ucrreqsonuarHor�wo <br /> Deec. of Work: X �"'� �� �)Q..�SS ��EC\iZHE� <br /> TWO ATTIC DORMERS ADDN� FRONT DECK -- c c � <br /> APPilcanl . �DO �A. c� � !. <br /> OFFICE SET JOB SET Phone <br /> I HEREBV CERTIFY THAT I MAVE READ AND EXAMINED THIS <br /> DeSCnbB PrOpoS9d WOfk _ APPROVED FOR PERHIT: DATE_/_/_ BY � r�qros¢o use oe sMp�q APPLICATION AND KNOW THE SAME TO BE TRUE AND COqpECT ALL <br /> RES�OEtvC�E. PROVISIONS OF LAWS AND ORDINANCES GOVEPNING THIS TVPE OF <br /> � �a�o�s�wr+aq�RT'�sqvn+e��owaa�n�cnnwcories� �RK W��L BE COMpLIED WITH WNETHER SPEGFIED HEREIN OR <br /> iot�� �� Y• NOT. THE aRANTIN(i OF A PERMIT DpES NOi PRESUME TO OIVE <br /> � °LOdf �— �«-- -��t �� AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> �/� i�N bTHER STATE OR LOCAL LAW RE6UUTINQ CONSTRUCTION Oq 7HE <br /> \// PERFORMANCE OF CONSTRUCTION.TMAT I AM AUTHOqIZEO BY THE <br /> PROJECT ADURESS(if known) OWNER OF TH�S PROPERTY TO PERFORM THE WOqK FOR WMICM <br /> M APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> Attech four(4)rnpies o1 plans tor proposeA work•Oraw to scale and nota the following il applicable: W �Tµ��'M���G �O� �O �ONTqACTORS LAW IB27 RCW AND 296,200 y,rAC. <br /> O �� � �� '_ �y <br /> ruperty Lines �Outline antl dimensions of all existing and proposed structmes on the lot •Existing antl proposed utilities OONSTRIICI�ONION/IENpEq,�ppOESS.1ElERlplf MJ61l�q A ZC..� .:�� ��Y1J_�.ee ��- �--1 <br /> �CentMine of stmet •Indicate North 5how any proposad gratling changes 5how measurements s� SqN�fU11E <br /> ' 0�T � , <br /> DO NOT WRITE BELOW THIS LINE — ���?�SS _oNS� �,<T�r. <br /> CITYg�$��SSIICENSCNO �al�,p� <br /> IT CONDITIONS: �J K�� � <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. f� �p• 7YVE OF flzTu�E oq�TEM MECNANICAL <br /> 2.fUl work shall be performed in accordance with this permit and current City of Everett Design and O �E No. iVpE p�Epulp�M FEE <br /> WATERCIOSET��OILEn � NC—AMNp�pUNffS <br /> Construction Standards and Saecifications. �THT� ; FORCED AIR SYSTEMS i <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-4245655. � UVATORV(WASH BASIN) <br /> � HEAT PUMP <br /> ^ SMOWER � <br /> .� ` � UNIT HEATERS <br /> i <br /> �/�� �� KITCHEN S!NI(8 DISP ; CLOTHES DRVERS � <br /> b O DISHWASHEII � RANGE HOOD � <br /> � <br /> � Ifi�IINiV TRAY � WAlER HEATER � <br /> CLOTHES WASHER � <br /> � WOODSTOVE <br /> I��/ UR�Nu' � MEZ'AL FIREPLACE(WOOD BURNING) � <br /> I/y�/�,�,�� � � � ORINICMN3FOUNTAIN ; FIREPLACEINSERT�WOODBURNING) <br /> ��V� ROOR DflNN , � <br /> GAS FIREPIACE � <br /> ��' • BAp(FLOW pqEVENiERS ' GAS RANGE � <br /> 1 ' <br /> SINI((SERVICE—BAR,ETC.) GAS PIPING � <br /> E%HAUSTFAN � <br /> i <br /> i � <br /> � � <br /> � � <br /> � <br /> SUB TOTAL f ; SUB TOTAL S � <br /> PERMIT f � PERMIT f � <br /> ACKNOWLEDGEMENTOFCONDITIONS TOTALFEE f � TOTALFEE f � <br /> The undersigned owner/applicant her-^y agrees to ho�d and save harm�ess FOR OFFICE USE ONLY: <br /> the Ciry of Everetl from any and all clalms for damages,coste,expenses,ar vnonr seTesp PE�p$FTBI1Ck <br /> provatl for Constructlon <br /> Oate causes of action Ihat may arisu because o}installation and malntenance of $IDE SETB�CN PI�N QIECH NIIMp(p rrp �rE�ri ra <br /> theimprovementorotherright-of-wayuseheretoapplleUforendlurtheragrees �- • .�7��� <br /> to removn same upon notice hom the Cfty and to replace public property u�z� �or��� v�c�r�t sire - FEES VALUATION <br /> Camaged thereby. �T_ <br /> ❑YE5 O NO Plnlnwfi 7Q,.� �j � <br /> FINAL INSPECTION Date �iaHr ur.m�Tia+ r+o a owcumc size or eiocrti •����� / � ; <br /> Appmved az Constructed IMitS <br /> Z �j S.F, r�iiunir�r. � <br /> OCCUI`ANCY Iq p 51(wbf5 OCCUiMNt LO�O B�SEMENI �— <br /> � Signature of Applicant Date GR0°P MEf.11ANIGL <br /> �� ❑YES � � <br /> WORK AUTHORIZED BY THIS PERM,IT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMR�S ISSUED AND THEREAFTER IS TO BE DILIGENRY PURSUED TO ���Ep q�o'o a��sow 1ODIIIONq.PI AN CpfCN ' <br /> COMPLEf101�,hilS PERMIT MAY BE CANCELLED BV THE CITV UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVEFi 90 DAYS DURATION. <br /> . FIflENMMPEO'0 nF��� on�En �� <br /> � � <br /> Sl�lf flUl10iNC.5U�f.1�41GC � � <br /> TYPEOff,ONST PI�NS�PIMOVEbBY ---- —���� <br /> CITY OF EVERETT winnc wonxs <br /> �_�J LOCALSALES _ _ _'_ <br /> osie S S 9 7 TAX CODE IS 3105 TOTnL <br />