HomeMy WebLinkAboutBLD2022-00596 - MECHANICAL1
DCD Front Staff
From:Department of Community Development <notifications@cognitoforms.com>
Sent:Tuesday, October 18, 2022 10:48 AM
To:DCD Front Staff
Subject:Mechanical Permit - Carol Durbin
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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 Installation of Mitsubishi 2 zone
Property Owner's Information
PARCEL # 998500021
PROPERTY OWNER'S NAME Carol Durbin
2
SITE ADDRESS 56 Leighbrook LN, Port Ludlow, Washington 98365
PROPERTY OWNER'S MAILING
ADDRESS
56 Leighbrook LN, Port Ludlow, Washington 98365
PROPERTY OWNER'S PHONE
NUMBER
(360) 908-7699
PROPERTY OWNER'S EMAIL
ADDRESS
gramcrc@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
ROLE IN THIS PROJECT Contractor
LICENSE # eaglepm867lk
3
EXPIRATION DATE 6/12/2024
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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