HomeMy WebLinkAboutBLD2022-00306 - MECHANICAL1
Morgan Higdon
From:Department of Community Development <notifications@cognitoforms.com>
Sent:Tuesday, May 31, 2022 3:37 PM
To:DCD Front Staff
Subject:Mechanical Permit - Dave & Ann Bruce
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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
2
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 4TON
Property Owner's Information
PARCEL # 021294017
PROPERTY OWNER'S NAME Dave & Ann Bruce
SITE ADDRESS 7715 Flagler Rd, Nordland, Washington 98358
PROPERTY OWNER'S MAILING
ADDRESS PO Box 211, Nordland, Washington 98358
PROPERTY OWNER'S PHONE
NUMBER (360) 535-4684
PROPERTY OWNER'S EMAIL
ADDRESS dbruce@sbwjlp.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 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 $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 Ellie Hubbard
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