4110 OLIVE ST 2017-03-06 - Laserfiche WebLink

PERMIT APPLICATION BUILDIN—'dIECHANICAL/PLUMBING I SIGN IRINKLER/ DEMOLITION 1111 �,/`�� CITY OF EVERETT PERMIT SERVIC 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION i PROJECT SiTE ADDRESS:4110 Olive St., Everett, WA PROPERTY TAX#: 059620050060 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT iNFORMATION OWNER NAME: Ron & Stephanie Hert TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srnEEr 4110 Olive St. CI Y Everett STATE WA ZIP 98203 OWNER PHONE: 206 - 919 - 0560 OWNER EMAIL: rrhert@gmail.com CONTRACTOR NAME: Owner CONTRACTOR ADDRESS: STREET Crry STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: Ili OWNER `y 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: Ron Hert CONTACT PHONE: 206 - 919 - 0560 CONTACT EMAIL: rrhert@gmail.com ' BUIDING PERMIT APPLICATION `. ,. .. .. . Existing Use of Building: Garage Contract Price of Work:$ Proposed Use of Building: Demolition Heat Source: OGas ❑Electric ❑Other Building Type: XSFR-Detached ❑SFR Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project ❑New ❑Addition ❑Remodel ❑Repair DT.I. ❑Sign ❑Sprinkler )(Demolition ❑Change of Use DESCRIPTION OF WORK: Demolition and removal of existing garage ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL,PERMITAPPLICATION PLUMBING PERMIT. APPLICATION. _ Type of Project: New_ Addn Alteration _Repair Type of Project: New Addn Alteration Repair #of List of Fixtures #°f List of Fixtures #°f List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Factures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other. Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: 'i•-:'. ..SPRINKLER,/,;S,UPpRESSIoNSYSTEM:, . Number of Heads ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is hue and correct.Work done pursuant to this permit must comply with current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only Z- . /// 5� 9/ // i PERMIT# tT , } t �(JDq100� Owner/Authorized Agent Signature Date (Revised 10/12/20151),IX)