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SITE ADDRESS <br />2917 BelmoMs lare <br />LEGA LOT NO. <br />DESC. pg <br />Belmonte Heights LLC <br />TENANTNAME <br />p <br />A <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.everetiwa.org <br />APPLICA7IONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />CONTRACTOR <br />Belmonte Heighis LLC <br />CONTR. LICENSE p <br />BELMOHL94480 <br />USE OF BUILDING <br />WORK DESCRIPTION <br />Basic # 206 <br />NO. I TVPE OF FIXTUAE Of11TEM <br />_�_ Toilel <br />_2_ Bathlub <br />q Lavatory (wash basin) <br />.,_,1_ Shower <br />1 Kitclien sink 8 disposal <br />t Uishwasher <br />1 Clolhes washer <br />Waler heater <br />. _ _ Sink (scrvicc'bac'mop�cic.) <br />. _ l3ackllow preventer <br />Urinal <br />_ ... Orinking Founiam <br />floor drain <br />Greasc trap <br />�� Hooldrains <br />O�her <br />PARCEL TAX I.D. # <br />070640-000-028-00 <br />iRACT OR SUBDIVISION M <br />9514 4th St. NE Suite p102 <br />CONTACT FOR PERMIT <br />PERMIT N <br />Lake Stevens,98258 425-953-1470 <br />PHONE <br />Brittney Lundberg 425-953•1470 z123 <br />ADDRESS CITY2IP PHONE <br />9514 4th St NE Suite U102 Lake Stevens, 98258 425-953-1470 <br />HEATSOURCE <br />Electric X Gas <br />Othei <br />CONTRACT PRICE OF WORK <br />N0. I TVPE OF FIXTUHE OR ITEM <br />A/C - air handling uni�s <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range haod <br />Ezhausllan <br />Heal pump <br />Unit heater <br />Doiler <br />Felrigeration <br />Woodslove <br />Other <br />GTY OF EVEHETT LOCAL SALES TAX COOE IS 9105 <br />I hereby cerilify �hat I have read and eKamined ihis app6ca�ion and know �he same to be irue and correcL All provisions ol laws and <br />ordinaces governinc� Ihis type ol work will be complied with whether specified herein or nol. The grenting ol a pennit does not presume <br />to give authority �o violate or cancel ihe provision ol any o�her state or local law reguiaUng construction or ihe perlormance ol <br />construction. That I am authonzed by ihe owner ol this properry ir perlorm Ihe work for which apphcation is made and I comply with the <br />Slate Contraqlors Lw 1827 RC and 296.�p0 WAC. <br />.n - 1 _ , . �JI . ,., .✓! � � / ,-���i �. -1 <br />I <br />� <br />�,1 <br />/1��.� /l��l� �- <br />