HomeMy WebLinkAboutBLD2021-00542 - MECHANICALFrom:Department of Community Development
To:DCD Front Staff
Subject:Mechanical Permit - Andrea Golden
Date:Wednesday, September 15, 2021 2:43:24 PM
CAUTION: This email originated from outside your organization. Exercise caution when
opening attachments or clicking links, especially from unknown senders.
Department of Community
Development
Mechanical Permit
View full entry at CognitoForms.com.
Entry Details
IS THIS PARCEL WITHIN
UNINCORPORATED JEFFERSON
COUNTY?
Yes
IS THIS PERMIT FOR A MOBILE OR
MANUFACTURED HOME?
No
IS THIS PERMIT APPLICATION FOR A
SOLAR PANEL INSTALLATION?
No
DOES YOUR PROJECT INCLUDE ANY
FIXTURES WITH A NATURAL
GAS/PROPANE/OIL FUEL SOURCE?
No
BRIEF DESCRIPTION OF YOUR
PROJECT
Installation of Mitsubishi Ductless Heat Pump
System, Electrical by sub contractor
Property Owner's Information
PARCEL #001301026
PROPERTY OWNER'S NAME Andrea Golden
PROPERTY OWNER'S MAILING
ADDRESS
6515 Cape George Rd, Port Townsend,
Washington 98368
PROPERTY OWNER'S PHONE
NUMBER
(360) 643-1150
PROPERTY OWNER'S EMAIL
ADDRESS
stevesullivan67@gmail.com
ARE YOU CURRENTLY OR WILL YOU
BE WORKING WITH AN AGENT ON
YOUR BEHALF?
Yes
ARE YOU CURRENTLY OR WILL YOU
BE WORKING WITH A CONTRACTOR
FOR YOUR PROJECT?
Yes
HAVE YOU DETERMINED WHICH
CONTRACTOR YOU ARE USING FOR
THIS PROJECT?
Yes
Project Contacts
Contact 1
PROJECT CONTACT'S NAME Dustin Halverson
PROJECT CONTACT'S COMPANY
NAME
All Weather Heating and Cooling
PROJECT CONTACT'S MAILING
ADDRESS
302 Kemp St, Port Angeles, Washington
98362
PROJECT CONTACT'S PHONE
NUMBER
(360) 452-9813
PROJECT CONTACT'S EMAIL
ADDRESS
sales@allweatherhc.com
ROLE IN THIS PROJECT Agent/Representative
PLEASE CONTACT
AGENT/REPRESENTATIVE FOR ALL
INQUIRIES REGARDING THIS
PROJECT.
Yes
Fees
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
CONFIRM UNDERSTANDING I understand
PRINT NAME Megan B Kellas
Powered by
Cognito Forms