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� <br />SITE ADDRESS <br />2919 Belmonte Lane <br />LEGA LOT N0. <br />DESQ 2� <br />( <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, CVERETT, WA 98201 <br />425-257•8810 — FAX 425-257-8857 — www.everetiwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />PARCEL TAX I.D. # <br />010640-000-027-00 <br />BLOCK TRACT OR SUBDIVISION N <br />PERMIT p <br />�� <br />Belmonte Heighis LLC 9514 4th St. NE Suite f!102 Lake Stevens. 98258 425-953-1470 <br />TENANTNAME I CONTACTFOHPEHMIT PHONE <br />� Brittney Lundberg 425-953-1410 x123 <br />CONTRACTOR <br />Belmonte Heighis LLC <br />CONTR. LICENSE # <br />BELMOHL944B0 <br />USE OF BUILDING <br />WORK DESCRIPTION <br />Basic # 206 <br />NO. � TYPE OF FIXTURE OR ITEM <br />_�_ Toilcl <br />_2 _ �a1hWb <br />q Lavatory (wz:,n basin) <br />1_ Shower <br />1 Kitchen sink 8 disposal <br />1 Dishwasher <br />� 1 Clothes washer <br />Waler haaler <br />._._ Sink (servicdbarimop'elc.) <br />_ __ �ackllow preventer <br />Urinal <br />__ _ Drinking Foun�ain <br />Floor drain <br />__ Grease Vap <br />� Rool diains <br />--�-- Other <br />ADDRESS CITV2iP PHONE <br />9514 4th St NE Suite #702 Lake Stevens, 98258 425-953•1470 <br />HEATSOUHCE <br />_ Eleciric _ X Gas _. Olher <br />CONTRACT PRICE OF WORK <br />N0. I TYPE OF FI%TURE OR ITEM <br />4 <br />1 <br />1 <br />—� - <br />-�- <br />NC - air handling unils <br />Forr,ed air systoms <br />Gas piping <br />Waler heater <br />Gas lireplaco <br />Gas iango <br />Clolhes dryer <br />Range hood <br />Exhausl lan <br />Hcat pump <br />Umt heatar <br />Boiler <br />Refrigeration <br />Woodslove <br />O�her------ <br />CITV OF EVERETT LOCAL SALES TAX COOE IS 9105 <br />I hereby ceritily Ihat I have read and examined this application and know the same to be �rue and co�rect. All provisions of laws and <br />orAinaces goveminc� ihis rype ol work will be complied with whether specilied herein or not. The granting ol a permit does not presume <br />to give aulhority �o violale or cancel ihe provisiun ol any other state or local law regulating conslruction or the perlormance ol <br />construction. 7hat I am authorized by the owner ol this property to pedorm the work lor which application is made and I compty with ihe <br />S ate Conpa tors Law 78.27 RCW and 2�96.200 WAC. <br />1>> l � ��. ��� � l-� i � ��1 �_���� �i�� (��1_���1 L� � <br />3� <br />