HomeMy WebLinkAboutBLD2021-000772/10/2021 Mechanical Permit - Entries
https://www.cog nitofor ms.com/forms/mechanicalpermit/entries/63 1/2
E n try #:63
Date Su bmitted:1/22/2021 2:56 PM
Is this permit for a mobile or manufactured home?
Is this permit application for a solar panel in stallation ?
Does you r project include any fix tures with a natu ral gas/propan e/oil fuel source?
Brief description of you r project
Parcel #
Property Own er's Name
Property Own er's Mailing Address
Property Own er's Phone Number Property Owner's E mail Address
Are you cu rrently or will you be workin g with an agent on your beh alf?
Are you cu rrently or will you be workin g with a contractor for your project?
P roper ty O wner 's Infor m ation
Is this parcel within Un incorporated Jefferson County?
Project Contact's Name
Project Contact's Company Name
Project Contact's Mailin g Address
Project Contact's Phone Number Project Contact's E mail Address
R ole in this Project
Please con tact Agen t/R epresen tative for all inquiries regardin g this project.
P roject Contacts
Mechan ical Permit Fee
Propane - Lines, Tank, an d appliance (add'l $97.00)
Project Scanning Fee
Tech nology Fee
Total Fees
Fees
S tatus: Reviewed
Yes
No
No
No
Inst allat ion of a driveway gate.
821103015
Brad Johnson
Brad Johnson, 1385 E Ludlow Ridge Rd, Port ludlow, W as hington 98365
(708) 567-7421 Bjohnc @gmail.com
Yes
No
Cont act 1
Hunter Hooper
PNW W elding and Repair
26099 Unit ed Road Northeas t, Kingston, W as hington 98346
(206) 412-0472 triplehrac e@gmail.c om
Agent/Repres entative
Yes
Me cha ni ca l Pe rm it Fe e
$194.00
Propa ne - Li ne s, Ta nk, a nd a ppli a nce (a dd'l $97.00)
$0.00
Proje ct Sca nni ng Fe e
$24.00
Te chnology Fe e
$10.90
TOTAL FEES
$228.90
2/10/2021 Mechanical Permit - Entries
https://www.cog nitofor ms.com/forms/mechanicalpermit/entries/63 2/2
Confirm Understanding
Print Name
I unders tand
Hunter Hooper