4110 OLIVE ST 2017-08-02 - Laserfiche WebLink

PERIUIIT APPLICATIOIV BUILDING :CHANICA-L/PLUMBING /SIGN/� NKLER/ DEMOLITION CI7Y OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETi',WA 98201 (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everetiwa.gov� wuuw.everettwa_gov/permits .... ,.. , , • . -.._ .�. : .. _-_... . , . _ . ; PROJECT SITE INFORMATION; -.. ' . . . .... .. . :. . . . . � .,. .. . .. PROJECT SITE ADDRESS: 4110 Olive Street, Everett,WA PROPERTY 7AX#: 059620050060 LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legai description) , .-„ ._. _.._;. � __. . .... .. . , _ _ ,. . - CONTACT. INFORMATION „ -: ` OWNER NAME: Stephanie Hert TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sr�eEr 4110 Olive Street ��y Everett STATE WA ziP 98203 OWNER PHONE: 206-919-4074 OWNER EMAIL: stephhert@gmail.com CONTRACTOR NAME; Owner CONTRACTOR ADDRESS: s�eer ��7Y STATE z1P CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS UCENSE�(REQUIRED): PRIMARY CONTACT:�[�OWNER , ❑ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-919-4074 Stephanie Hert CONTACT EMAIL: stephhert@gmail.com ,: _ __ . .. . ,__. . - , . . _ -- . . ._.. _ _ .. .. -_ - .. _. . ,:.. ; . �BUILDIN�_PERMIT APPLICATION , Existing Use of Building: �vered PorCh Contract Price of Work:$ Proposed Use of Buifding: Heat Souroe: ❑Gas ❑Electric ❑Other Building T pe: ❑SFR-Detached �SFR Aftached ❑Duplex ❑Multi-Family�of Units: ❑Commercial ❑Industrial T e of Project: ❑New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler �Demolition ❑Change of Use DESCRIPTION OF WORK: Remove existing covered porch and prepare site for new structure ��P�D �� r� � � � V` / y ASSOCIATED BUILDING PERMIT#(if ap licable: _.. .. . . .._._._..T. �_ ._ .�-: .. .._. . ...... . ... .... - .. ... -. .. MECHANICAL PERMIT APPLICATION . ".. PLUMBiNG PERMIT�►PPLICATION;.,: . , Type of Pro)ect: ,_,New Addn �lteratlon _Repair Type of Project: _New Addn _Alteration _Repair #of ��.F�� #of ��Fiartures #of /�st of Fixfures #°{ List of Fixtures Fi�ures Fi�ctu�es Fixfures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory ash Basin) Drinking Fountain Water Heater Refigeration 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 Heafer Other. Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: ,:: - - ., .� .. _..,. • s,SPRINKLER/,_,SUPPRESSI.ONSYSTEM_�, ;; . Number of Heads ACKNOWLEDGEMENT.�1 have reviewed this application and confiim the infoimation confained herein is frtre and co�recf.Work done pursuant fo fhis pemrit must comply with current federal,state,and locai law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must fiist be aufhorized in wnting fram fhe Building Official before being authorized under any circumstance.I am the owner,o�l am authorized by the owner of this propeify to perform fhe work for which application is made, and/comply with the State Contracfors Law 18.27 RCW and 296.200A WAC_ Cify of Everett Offrcial Use Only PERMIT# /` L r% '/9/��Jf�°�c�.��! ��5..-� , � �L�� V U� �l ..-'/� %";3('1':i..1�7/i Owner/A harized Agent Signature Date (Revised 10/12/2015) r /�