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0 <br />SITE ADDRESS <br />2907 Belmonte Lane <br />LEGA LOT NO. <br />DESC. 33 <br />Belmonte Heights LLC <br />TENANTNAME <br />PERMIT APPLICaTION ���� � �`'�' <br />CITY OF EVERETT PERMIT 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 />CONTRACTOfl <br />Belmonte Heighls LLC <br />CONTR. LICENSE p <br />BELMOHL94460 <br />USE OF BUILDING <br />WORK DESCRIPTION <br />Basic # 204 <br />N0. I TYPE OF FIXTURE OR ITEM <br />� _ Toilel <br />2__ Balhtub <br />g _ Lava�ory (wash basin) <br />1_. Sh�wer <br />1 Kitchnn sink 8 disposal <br />1 Dishwflsher <br />�_ Clothes washer <br />Water heate� <br />� Slnk (servlce'bar,mop'etc.) <br />Backliow preventer <br />Urinal <br />Drinkino Fountain <br />� floord�ain <br />Grcasctrap <br />Rool drains <br />�--- Other . .. <br />I PARCEL TAX I.U. p <br />�_ 010640-000-033-00 <br />TRACT OR SUBOIVISION M <br />PERMIT N <br />9574 4th St. NE Suite #102 Lake Slevens, 98258 425-953-1470 <br />CONTACT FOR PERMIT PHONE <br />Brittney Lundoerg 425-953-1470 x123 <br />AODRESS CITY2IP PHONE <br />9514 4th St. NE Suite #702 Lake Stevens, 98258 425•953-1470 <br />� ', 'i ,'� <br />HEAT SOURCE <br />Electric X Gas .... Other <br />CONTRACT PRICE Oh WUnn <br />NO. I TYPE OF PIXTURE OR ITEM <br />A/C — air handling units <br />1 Fo�ced air syslems <br />4 Gas piping <br />1 Water heater <br />1 Gas fireplace <br />_ -1 _ Gas range <br />t Clolhes dryer <br />1 Ranc�e hood <br />_5 Exhausifan <br />_. Heat pump <br />Unit heater <br />Boiler <br />Re�rigeralion <br />Woodslove <br />CITY OF EVERETf LOCAL SALES TAX CODE IS 3105 <br />I here6y cerltily Ihat I have read and eaamined ihis applica�ion and know the seme �o te irue and correct. All provisions of laws and <br />ordinaces goveming Ihis rype ol work will be complied with whelher specified herein or noL The granting of a permit does not presume <br />to give authorily to violale oi cancel Ihe provision of airy other s�ate or local law regulaling cons�ruction or �he perlormanr.e ol <br />construction. That I am authorized by the owner of Ihis property Io pe�form the work for wliich application is made and I comply with the <br />State Conlractors Law 1 B27 RCW ond 296200 WAC. <br />� /� / <br />�n � I l /1 / <br />Signature ol O�.vner/ onlractorlAuthonzed Agent i �a�n !/ ^� <br />