2910 19TH ST 2021-09-02 - Laserfiche WebLink

111111111 • PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING /SIGN / SPRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Biuo or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:2910 19th Street PROPERTY TAX#:55310030050006 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Pandora Fitzpatrick Cable& Clay Evan Cable TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET2910 19th Street cIry Everett STATE WA zip 98201 OWNER PHONE: 425-760-0753 OWNER EMAIL:pandoraf@frontier.com CONTRACTOR NAME:Critical Path Inc CONTRACTOR ADDRESS: STREET 61 19 71st Ave Ct NW cm Gig Harbor STATE WA ZIP 98335 CONTRACTOR PHONE:206-455-3739 CONTRACTOR EMAIL:keith@cpc-nw.com CONTRACTOR LICENSE#(REQUIRED):CRITIP1843L9 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: I]OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING INFORMATION Existing Use of Building:SFR _Contract Price of Work:$ f bp0 .to Proposed Use of Building:SFR Heat Source: EIGas DElectric ❑Other BUILDING USE IZISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler IJDemolition ❑Change of Use DESCRIPTION OF WORK: Demolish and replace stairs from sidewalk to grade, and landing at grade ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility, laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads _ Chemical Suppression System No.of Heads ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PER92,0014. q-11-1-(ZD ) Owner/Authorized Agent Signature Date (Revised 10/10/2018)