HomeMy WebLinkAboutBLD2021-00569 - MECHANICALFrom:Department of Community Development
To:DCD Front Staff
Subject:Mechanical Permit - Karin Ertl
Date:Thursday, September 30, 2021 10:28:02 AM
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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 Install Trane Series XV19 R410A Heat Pump
System 2TON
Property Owner's Information
PARCEL #990400262
PROPERTY OWNER'S NAME Karin Ertl
PROPERTY OWNER'S MAILING
ADDRESS 540 Montgomery Ln, Pt Ludlow, Washington
98365
PROPERTY OWNER'S PHONE
NUMBER (804) 338-9871
PROPERTY OWNER'S EMAIL
ADDRESS ellie@airfloheating.com
ARE YOU CURRENTLY OR WILL YOU
BE WORKING WITH AN AGENT ON
YOUR BEHALF?
No
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 Ellie Hubbard
PROJECT CONTACT'S COMPANY
NAME Air Flo Heating
PROJECT CONTACT'S MAILING
ADDRESS 221 W Cedar St, Sequim, Washington 98382
PROJECT CONTACT'S PHONE
NUMBER (360) 683-3901
PROJECT CONTACT'S EMAIL
ADDRESS ellie@airfloheating.com
ROLE IN THIS PROJECT Contractor
LICENSE #AIRFLI*206DG
EXPIRATION DATE 4/25/2022
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 Ellie Hubbard
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