HomeMy WebLinkAboutBLD2021-00117 - MECHANICALEntry #:83
Date Submitted:2/25/2021 4:55 PM
Is this permit for a mobile or manufactured home?
Is this permit application for a solar panel installation?
Does your project include any fixtures with a natural gas/propane/oil fuel source?
Brief description of your project
Parcel #
Property Owner's Name
Property Owner's Mailing Address
Property Owner's Phone Number Property Owner 's Email Address
Are you currently or will you be working with an agent on your behalf?
Are you currently or will you be working with a contractor for your project?
Have you determined which contractor you are using for this project?
Property Owner 's Information
Is this parcel within Unincorporated Jefferson County?
Project Contact's Name
Project Contacts
Status: Reviewed
Yes
No
No
No
Install Trane Series XR15 R410A Heat Pump System 2.5TON
998700091
Sieglinde Thompson
112 Clearview Place, Port Ludlow, Washington 98365
(360) 437-8184 emmali@q.com
Yes
Yes
Yes
Please include your contractor information in the "Additional Contacts" section on the next page.
Contact 1
Ellie Hubbard
Project Contact's Company Name
Project Contact's Mailing Address
Project Contact's Phone Number Project Contact's Email Address
Role in this Project
License #Expiration Date
Mechanical Permit Fee
Propane - Lines, Tank, and appliance (add'l $97.00)
Project Scanning Fee
Technology Fee
Total Fees
Fees
Confirm Understanding
Print Name
Air Flo Heating
221 W Cedar St, Sequim, Washington 98382
(360) 683-3901 ellie@airfloheating.com
Contractor
AIRFLI*206DG 4/25/2022
Mechanical Permit Fee
$194.00
Propane - Lines, Tank, and appliance (add'l $97.00)
$0.00
Project Scanning Fee
$24.00
Technology Fee
$10.90
TOTAL FEES
$228.90
I understand
Ellie Hubbard