HomeMy WebLinkAboutBLD2021-00648 - MECHANICAL1
DCD Front Staff
From:Department of Community Development <notifications@cognitoforms.com>
Sent:Thursday, October 28, 2021 3:12 PM
To:DCD Front Staff
Subject:Mechanical Permit - Patrick Van Camp
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Department of Community Development
Mechanical Permit
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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 a new pellet insert
Property Owner's Information
PARCEL # 901341006
PROPERTY OWNER'S NAME Patrick Van Camp
2
SITE ADDRESS 3521 Center Rd, Chimimcum, Washington 98325-
8751
PROPERTY OWNER'S MAILING
ADDRESS 3521 Center Rd, Chimimcum, Washington 98362
PROPERTY OWNER'S PHONE
NUMBER (360) 531-1914
PROPERTY OWNER'S EMAIL
ADDRESS kathivancamp@yahoo.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 Barb Abbott
PROJECT CONTACT'S COMPANY
NAME Everwarm Hearth and Home
PROJECT CONTACT'S MAILING
ADDRESS 257151 Hwy 101, Port Angeles, Washington
98362
PROJECT CONTACT'S PHONE
NUMBER (360) 452-3366
PROJECT CONTACT'S EMAIL
ADDRESS barb@everwarmhh.com
ROLE IN THIS PROJECT Contractor
LICENSE # Everwhh851jl
3
EXPIRATION DATE 4/1/2024
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 Barb Abbott
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