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SITE ADDRESS <br />2903 Belmonte Lane <br />LEGA LOT N0. <br />DESC. 35 <br />Belmonte Heights LLC <br />NAME <br />PERMIT APPLICATION <br />':.ITY OF EV�ERETT FERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425•257-8810 — FAX 425-257•8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />CONTRACTOR <br />Belmonte Hzights LLC <br />CONTR. LICENSE p <br />BELMOHL944�0 <br />USE OF BUILDING <br />WORK DESCRIPTION <br />PARCEL TAX I.D. p <br />OtOf>40-000-035-00 <br />TRACT OR SUBDIVISION N <br />9514 4th Sl NE Suite #102 <br />CONTACTFOAPERMIT <br />Brittney Lundberg <br />ADDRESS <br />9574 4ih St NE Suite #102 <br />HEATSOURCE <br />PERMIT p <br />Lake Stevens,98258 425-953-1470 <br />PMONE <br />425-953•1470 x123 <br />CITY2IP PHONE <br />LakE Stevans,98258 425-953-7470 <br />Eledric _X_ Gas ___ Op�er <br />Basic # 204 ( � � /� <br />1,� <br />PLUMBING <br />NO. I TVPE OF Fl%TURE OR ITEM <br />Toilel <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (scrvice�bavmopietc.) <br />Backllow prevente� <br />Urinal <br />Drinkinc� Fountain <br />Floor drain <br />Grease Uap <br />Rool drains <br />Other. _---- _..._.. <br />CONTRACT PflICE OF WOHK <br />N0, I TVPE OF FI%TURE OR ITEM <br />—� - <br />1 <br />7 <br />1 <br />5 <br />A%C - air bandling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Ezhaustlan <br />Heat pump <br />Unit heater <br />Boiler <br />Relrigeralion <br />Woodstove <br />CITY OF EVERETT LOC.AL SALES TAX CODE IS 7105 <br />1 hereby ceritity that I have read and ezamined this applicatlon and know me same lo be true and correct. All provisions of laws and <br />o�dinaces governing this type of work will be complied with whet�er specified herein or not. The granting ol a permit does not presume <br />to give authority to violate or cancel �he provision ol any other state or local law regulating constmction or ihe peAormance of <br />construclion. That I am authorized by the owne� ol �his property to perform the work lor whi:h application is made and I comply with ihe <br />Slate ContiaUors Law 18.27 RCW and 296200 WAC. � � <br />/✓ <br />