HomeMy WebLinkAboutBLD2022-00595 - MECHANICAL1
DCD Front Staff
From:Department of Community Development <notifications@cognitoforms.com>
Sent:Tuesday, October 18, 2022 10:02 AM
To:DCD Front Staff
Subject:Mechanical Permit - Mary Hudson
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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?
Yes
IS THIS PERMIT APPLICATION FOR A
PROPANE TANK INSTALLATION? No
BRIEF DESCRIPTION OF YOUR
PROJECT Replace existing furnace with propane furnace
Property Owner's Information
2
PARCEL # 601273016
PROPERTY OWNER'S NAME Mary Hudson
SITE ADDRESS 171 Whitney RD, Quilcene, Washington 98376
PROPERTY OWNER'S MAILING
ADDRESS 171 Whitney RD, Quilcene, Washington 98376
PROPERTY OWNER'S PHONE
NUMBER (360) 301-5239
PROPERTY OWNER'S EMAIL
ADDRESS coylek2400@gmail.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 Zak Walen
PROJECT CONTACT'S COMPANY
NAME Eagle Pipe and Mechanical
PROJECT CONTACT'S MAILING
ADDRESS 5634 NE Minder RD, Suite c-102, Poulsbo,
Washington 98370
PROJECT CONTACT'S PHONE
NUMBER (360) 316-9238
PROJECT CONTACT'S EMAIL
ADDRESS zak@eaglepipemechanical.com
3
ROLE IN THIS PROJECT Contractor
LICENSE # eaglepm867lk
EXPIRATION DATE 6/12/2024
Mechanical Permit Details
HEAT SOURCE Propane
Indicate Quantity of NEW Fixture Types Below
FAN (BATH FAN AND/OR EXHAUST
FAN)
0
CLOTHES DRYER (CLOTHES DRYER
WITH EXHAUST VENT) 0
COOK STOVE (COOK STOVE, RANGE
HOOD EXHAUST 0
FIREPLACE - GAS (FIREPLACE-GAS
OR GAS LOG INSERT) 0
FIREPLACE - WOOD (FIREPLACE-
WOOD, WOOD STOVE, OR PELLET
STOVE)
0
ELECTRIC FURNACE (ELECTRIC
FURNACE OR HP +/- DUCTING)
0
PROPANE (LP) GAS FURNACE
(PROPANE FURNACE +/- DUCTING)
1
WATER HEATER - GAS (GAS WH
VENT AND COMBUSTION AIR)
0
GAS PIPE SYSTEM (GAS PIPE
SYSTEM LPG/OIL)
0
PROPANE TANK (LP FUEL TANK) 0
HEAT PUMP 0
4
GENERATOR 0
AIR CONDITIONER 0
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 Zak Walen
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