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Home My WebLink AboutBLD2021-00636 - MECHANICAL1 Morgan Higdon From:Department of Community Development <notifications@cognitoforms.com> Sent:Monday, October 18, 2021 10:24 AM To:DCD Front Staff Subject:Mechanical Permit - Gwendolyn Demombynes 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? Yes IS THIS PERMIT APPLICATION FOR A PROPANE TANK INSTALLATION? No BRIEF DESCRIPTION OF YOUR PROJECT install new Regency propane fireplace Property Owner's Information PARCEL # 947300011 2 PROPERTY OWNER'S NAME Gwendolyn Demombynes PROPERTY OWNER'S MAILING ADDRESS 123 Vancouver Lane, Port Townsend, Washington 98368 PROPERTY OWNER'S PHONE NUMBER (206) 384-1450 PROPERTY OWNER'S EMAIL ADDRESS gwen@moombeam-lighting.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 Barb Abbott 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 Agent/Representative PLEASE CONTACT AGENT/REPRESENTATIVE FOR ALL Yes 3 INQUIRIES REGARDING THIS PROJECT. 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) 1 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) 0 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 GENERATOR 0 4 AIR CONDITIONER 0 Fees MECHANICAL PERMIT FEE $194.00 PROPANE - LINES, TANK, AND APPLIANCE (ADD'L $97.00) $0.00 PROJECT SCANNING FEE $24.00 TECHNOLOGY FEE $10.90 TOTAL FEES $228.90 CONFIRM UNDERSTANDING I understand PRINT NAME Barbara Abbott Powered by To help protect your priv acy, Microsoft Office prevented automatic download of this picture from the Internet. Cognito Forms