HomeMy WebLinkAboutBLD2022-00191 - MECHANICAL1
DCD Front Staff
From:Department of Community Development <notifications@cognitoforms.com>
Sent:Thursday, April 7, 2022 10:41 AM
To:DCD Front Staff
Subject:Mechanical Permit - Bruce Miller
ALERT: BE CAUTIOUS This email originated outside the organization. Do not open attachments or click on links if you are
not expecting them.
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 Mitsubishi Ductless Heat Pump
System
Property Owner's Information
PARCEL # 965000188
PROPERTY OWNER'S NAME Bruce Miller
2
SITE ADDRESS 21 Fairbreeze Drive, Port Townsend, Washington
98368
PROPERTY OWNER'S MAILING
ADDRESS 21 Fairbreeze Drive, Port Townsend, Washington
98368
PROPERTY OWNER'S PHONE
NUMBER (206) 225-6052
PROPERTY OWNER'S EMAIL
ADDRESS Sailingpt@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 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
3
EXPIRATION DATE 4/25/2022
Fees
MECHANICAL PERMIT FEE $204.00
PROPANE - LINES, TANK, AND
APPLIANCE (ADD'L $97.00) $0.00
PROJECT SCANNING FEE $25.50
TECHNOLOGY FEE $11.48
TOTAL FEES $240.98
CONFIRM UNDERSTANDING I understand
PRINT NAME Ellie Hubbard
Powered by
To help protect your priv acy, Microsoft Office prevented automatic download of this picture from the Internet.
Cognito Forms