HomeMy WebLinkAboutBLD2020-00583 - MECHANICAL11/3/2020 Mechanical Permit - Entries
https://www.cog nitofor ms.com/forms/mechanicalpermit/entries/15 1/2
E n try #:15
Date Su bmitted:10/30/2020 4:01 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
Is this parcel within Un incorporated Jefferson County?
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
Mechan ical Permit Fee
Propane - Lines, Tank, an d appliance (add'l $96.00)
Fees
S tatus: Reviewed
Yes
No
No
No
Inst all Trane Series XV19 R410A Heat Pump Sy stem 3TON
990600149
jack ie & Cliff Ric k
241 Mont gomery Ln, Pt Ludlow, W as hington 98365
(360) 437-8189 rick8189@ms n.c om
No
No
Me cha ni ca l Pe rm it Fe e
$192.00
Propa ne - Li ne s, Ta nk, a nd a ppli a nce (a dd'l $96.00)
$0.00
11/3/2020 Mechanical Permit - Entries
https://www.cog nitofor ms.com/forms/mechanicalpermit/entries/15 2/2
Project Scanning Fee
Tech nology Fee
Total Fees
Confirm Understanding
Print Name
Proje ct Sca nni ng Fe e
$24.00
Te chnology Fe e
$10.80
TOTAL FEES
$226.80
I unders tand
Ellie Hubbard