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' � ( <br /> PERMIT APPLICATION � <br /> CITY OF EVERETT PE:RMIT SERVICES �'�I <br /> 3200 CEDAR STREET, E\'ERETT,WA 98201 ` '\��� <br /> 425-257-8810—FAX 425-257-8d57—www.evereltwa.org \T <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEI TAX I.D.# PERMIT N <br /> 512 Pilchuck Path �, 010640•000•052-00 � i '�,fi <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION A' <br /> DESC. SZ <br /> OWNER ADDRESS CITV2IP PHONE <br /> Belmonte Heights LLC 9514 4th St. NE Suite#102 Lake Stevens,98258 425•953-1470 <br /> TENANT NAME I CONTACT FOR PERMIT PNONE <br /> Brittney Lundberg 425-953-7470x123 <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> Belmonte Heighls LLC 9514 4th St. NE Suite#102 Lake Stevens,98258 425•953-1470 <br /> CONTR.LICENSE p <br /> BELMOHL94480 <br /> USE OF BUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Eleciric x Gas_Other <br /> WORK DESCRIPTION <br /> Basic#204 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF Fl%TURE OR ITEM NO. TVPE OF FIXTURE OR ITEM <br /> � Toilel A/C–air handling units <br /> 7. Balhtub 1 Forced air systems <br /> �_ Lavatory(wash basin) 4 Gas piping <br /> t Shower 1 Water heater <br /> 1 Kitchen sink&disposal 1 Gas fireplace <br /> 1 Dishwasher 1 Gasrange <br /> 1 Clothes washer 1 Clothes dryer <br /> Water heater 1 Range hood <br /> Sink(serviceroar/mop/etc.) 5 Exhaus�fan <br /> Backllow preventer _ Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trap _ Woodslove <br /> Rool drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 5105 <br /> I hereby ceritily that I have read and examined this applicalion and know the same to be irue and correct. All provisions ol laws and <br /> ordinace4 governing ihis type of work will be complied with whether specilied herein or not.The granting of a permit does not presume <br /> to give aulhority to violate or cancel the provision of any other state or local law regulating construction ar ihe performance ol <br /> conslruction.That I am authorized by ihe owner ol this propeAy�o per(orm the work lor which applicalion is made and I comply with the <br /> State Coniractors Law 1827 RCW and 296200 WAC. <br /> �,/�:� /i�1 <br /> Signature ol OwnedContractor/Authorized Agent � Date �I <br /> z <br /> �%�� <br />