Laserfiche WebLink
( ' <br /> PERMIT APPLICATIOR� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi,WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.p �RM�DI d I/ <br /> 534 Pilchu�k Palh 010640•000•063-00 <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. 63 <br /> OWNER AODRESS CITY2IP PH E <br /> Belmonte Haights LLC 9514 4th St. NE Suite#102 Lake Stevens,98258 425-953-1470 <br /> TENANiNAME I CONTACTFORP[RMIT PHONE <br /> Brittney LunJterg 425-953-1470 <br /> CONTRACTOR ADORESS CITY2IP PHONE <br /> Belmonte Heights LLC 9514 4th St. NE Suite#102 Lake Stevens,98258 425-953-1470 <br /> CONTR.LICENSE M <br /> BELMOHL944B0 <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Electric X Gas_Other <br /> WORK DESCRIPTION <br /> Basic#204 <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FlXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> 3 Toilet A/C–air handling units <br /> 2 Bathtub 1 Forced air systems <br /> � Lavatory(wash basin) 4 Gas piping <br /> t Shower 1 Water heater <br /> 1 Kitchen sink 8 disposal 1 Gas fireplace <br /> 1 Dishwasher 1 Gasrange <br /> t Clothes washer ? Clothes dryer <br /> Water heater t Rangn hood <br /> Sink(servicc�bar/mop/elc.) 5 Exhaust fan <br /> Backflow preventer _ Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Retrigeration <br /> Grease trap _ Woods�ove <br /> Rool drains Other <br /> O�her <br /> CITY OF EVERETT LOCAL SALES TA%COUE IS 9105 <br /> I hereby ceritify that I have read and examined this application and know the same to be true and correcl. A�I provisions of laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or not.The granti�g of a permi�dces not presume <br /> to give authority to violale or cancel the provision ol any other state or locat law regulating construction or the peAormance oi <br /> construction.That I am authorized by Ihe owner of this property to perform the work for which application is made and I comply with ihe <br /> Sta�e Contraclors Law 1827 RCW and 296.200 WAC. <br /> J' � -D� <br /> ignature ol OwnerlC ntra or ut onzed Agent i ate <br />