HomeMy WebLinkAboutBLD2022-00213 - MECHANICAL1
Morgan Higdon
From:Department of Community Development <notifications@cognitoforms.com>
Sent:Monday, April 18, 2022 9:09 AM
To:DCD Front Staff
Subject:Mechanical Permit - Jorge Concepcion
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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
2
DOES YOUR PROJECT INCLUDE ANY
FIXTURES WITH A NATURAL
GAS/PROPANE/OIL FUEL SOURCE?
No
BRIEF DESCRIPTION OF YOUR
PROJECT Install new wood burning Fireplace Extrondinare 36
elite fireplace
Property Owner's Information
PARCEL # 821163004
PROPERTY OWNER'S NAME Jorge Concepcion
SITE ADDRESS 340 South Bay Lane, Port Ludlow, Washington
98365
PROPERTY OWNER'S MAILING
ADDRESS 340 South Bay Lane, Port Ludlow, Washington
98362
PROPERTY OWNER'S PHONE
NUMBER (360) 452-3366
PROPERTY OWNER'S EMAIL
ADDRESS marionjorge@msn.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
3
HAVE YOU DETERMINED WHICH
CONTRACTOR YOU ARE USING FOR
THIS PROJECT?
Yes
Project Contacts
Contact 1
PROJECT CONTACT'S NAME andrew thomas
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
EXPIRATION DATE 4/1/2023
Fees
MECHANICAL PERMIT FEE $204.00
4
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 andrew thomas
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