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m <br />SITE ADDRESS <br />2913 Belmonte Lane <br />LEGA LOT NO. <br />DES�. 30 <br />Belman�e Heights LLC <br />TENANTNAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERlIICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257•8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTEU FROM 8 AM TO 4 PM <br />BLOCK <br />CONTRACTOR <br />Belmonte Heights LLC <br />CONTR. LICENSE p <br />BELMOHL�J44B0 <br />USE OF BU�LDING <br />WORK DESCRIPTION <br />Basic # 206 <br />NO. I TVPE OF FIXTURE OR ITEM <br />Toilet <br />�athrtub <br />Lavalory (v.ash basin) <br />Shower <br />Kitchen sink 8 disposal <br />� Jishwasher <br />Cloihes washer <br />Wxter healer <br />Sink (servicdbanmop�etc.) <br />Ciackllow preventer <br />Urinal <br />Drinhing Fountain <br />Floor drain <br />Grcase trap <br />Ruol drains <br />Olher <br />PARCEL TAX I.D. # <br />010640-000-030-00 <br />THACT OR SUBDIVISI')N N <br />PEfiMR if <br />9574 4th St NE Suite #102 Lake Stevens, 98258 425-953-7470 <br />CONTACT FOF PERMIT PHONE <br />Brittney Lundberg 425•953-1470 z123 <br />ADDRESS CITY2IP PHONE <br />9514 4ih St. NE Suite tt t02 Lake Stevens, 98258 425•953-1470 <br />HEATSOURCE <br />Eleclric X Gas Other <br />CONTRACT PRICE OF WORK <br />N0. I TYPE OF FI%TURE OR ITEM <br />!VC - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas firoplace <br />Gas �ange <br />Clothes dryer <br />Rango hood <br />Exhaust lan <br />Heal pump <br />Unit hoater <br />Boiler <br />Fietrigere�ion <br />Woadslove <br />Other _ <br />--I -- _ .._ �- ----- - <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I he �eby centity that I have read and examined ihis application and know ihe same to be irue and correcl. All proviswns of laws and <br />o�di iaces goveming ihis type of wwk will be complied with whether specified herein ar nol. The granting of a permit does not presume <br />to qive authority to violate or cancel the provision ol any other slate or local law regulating conslruction or the pedormance ol <br />conslruction. That I am aulhorized by the owner ol Ihis property to perloim Ihe work lor which application is made and I comply with the <br />State Cynlr�a c(ors Law 18,2Z CW and 296.200 WAC. <br />�, i-I I I,�; �/1 t� 1 I i l!I l� l'i/ l: A/' I'�� i�(� ����� <br />