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HomeMy WebLinkAbout9507-08s-.aa. y of Port Townsend, LIGATION Sib APPLICANT: ~ OWNER ~ CONTRACTOR ~ OTHER: ~c. Y7. ~ `~ ~ i (~ i ~ `~ `tl, ~' • PERMIT ~ 930 i -D~ A ~,~2i w~~~`~~1 ~• c~ Legal Description: Addition SITEADDR.E~~SS"":~~``""'',,,, JJ`~' (~ ~, 'XV~ J Bloc}:(s) Lots} Zone: OWNER:~YLL~~s C~S~ ' ADDRESS: 233 o wC~Sln~nq ~c"l coNTRACTOR: C~acZ~~r ~~oQaw~P. ADDRESS: gad 1~5~ ~ ~P1 ,T, CONTRACTOR LICENSE # PI`` L ~ ~ P l O!!p ~ ~ ~)~IRATION DATE: " ~ ~ ~ / ~g Q OWNER PHONE x CONTRACTOR PHONES ~ ~ 5 ~ ~ 1 ~ [1-- ri(). TYPE' OF E tJIPMENT >; FEE N0. TYPE ©F`FDfI'URE= y .: FE&; RADiGE WATER CLOSET 'wOCDlPr~Ei STCVE BATHTUB j GAS FUIL^IACE brat: ~ LAVATORY I 1 C~1~1VGR.51VlVBIJRIvtR b1L1: SHOWER I L'NiT HEATER ber.S: KITCHEN SINK BOILER bruit DISHWASHER CAS P[PING I IAUNDRYTRAY j EVAPORATION COOLERS bruit ; CLOTHES WASHER j AC UNIT bra a: j WATER HEATER HEAT PUMP bra's: eoru: URINAL REHEAT BOX bruit ~ DRINKING FOUNTAIN ,iIR HANDLING UNIT bra is j FLOOR SINK OR DRAIN j E7G-IAUST Fr4~IS , ~.• ~.?=' j SLOP SINK RANGE HOOD (:csiden:ial; ~ P "' j WATER PIPIING & ALTERATION j Rr4`+GE HOOD (commerciall Sp ~ GREASE TRAP/INTERCEPTOR j CLOTHES DRYER 05~!- '° ~_r°' HOSE BIBBS fNCINERATOR yt "' .: ~ `~" j LAWN SPRINKLER SYSTE~~t DUCT ALTERATION " '„iCJR SWIMMING POOL I ~ T:1PiKS e: BLDG. SEWER (mobile /moved house} i j REFRIGERATION UNIT ROOF DRAINS OTHER: OTHER ~ MECHANICAL PERMIT FEE PLUMBING PERMIT FEE 10.322.100.00) Mechanical Fees )10.386.102.00) State Fee ~~ GS TOTAL • PLICANT'S SIGNATURE: ~~ .~~ Plumbing Fees State Fee TOTAL Balance Due Fees Received by Deputy-Clerk 2 ~t-gs Date Recd Receipt No.