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9508-02
PER.MiT APPLICATION City of Port Townsend,: Washington 98368 Phone: (Z06)385-3Q~ 'fax: (206)385~i290' APPLICANT: ~ OWNER ~ CoNTRACroR ~ OTHER: COMMENTS: l G ~u' Y~ ~ t~ . PERMIT # gJDa -~ Z Leqal Description:'i~7a'~uess !~¢rcP.u.RAddition SiTEADDRESS:~i ~ "~,~G W.?Al`IC ayE. - Bloc'~(s)42b`14 Lot(s) Zone: OWNER: S~'KUH ~ tAt(, ADDRESS: 'PU•C3c:~ It5c7~o~T TOItiNSE~3I7 CONTRACTOR: OW N CONTRACTOR LICENSE x. OWNER PHONE x ~~ ~ 'T~PJV ADDRESS: / r/ ~; ~~/ ,~N~ .1 EXPIRATION DATE: C ~F ` L, l '"> ~ ~"a ti CONTRACTORPHONEx Nfl. 'TYPE' OF E UIPMENT ;_ • FEE I NO. TYPE flF FIXTURE! . a ~„ ~'._ RANGE WATER CLOSET ~ 'wGOD:PELLET STOVE BATHTUB ; I GAS FURNACE bear: LAVATORY 1 i CON'veRSiviv BUiu~iER bes<i: SHOWER , L'NiT H'r14TcR bees's: KITCHEi~' SINK BOILER /m s: . / DISHWASHER GAS PIPING { I LAUNDRY TRAY EVAPORATION COOLERS b AC UNIT beui: CS.7I$. ; I CLOTHES WASHER WATER HEATER HEAT PUMP bra's: rorsr: URINAL I REHE4T BOX beui: ; DRINKING FOUNTAIN AIR HANDLING UNIT beu'a: I FLOOR SINK OR DRAIN E7G-IAUST FAAIS R.o'D I SLOP SINK I ~ RAPiGE HOOD (;eaidential; WATER PIPIING & ALTERATION I { RANGE HOOD (commercial) GREASE TRAP/INTERCEPTOR CLOTHES DRYER HOSE BIBBS INCINERATOR ( LAWN SPRINKLER SYSTEM I DUCT ALTERATION SWIMMING POOL TANKS e: .`..:. F~' '=_ ' . ~ BLDG. SEWER (mobile /moved house) I REFRIGERATION UNIT ROOF DRAINS OTHER OTHER: MECHANICAL PERMIT FEE ZZ. oo PLUMBING PERMIT FEE _ )10.322.100.00) Mechanical Fees 010.386.102.00) State Fee TOTAL APPLICANT'S s ~y ~~ Balance Due Fees Roceived by Deputy-Clerk Dace Recd Receipt No. 59. (oS pl„~ing Fees ,SD State Fee to ,/S TOTAL ~tilE~l-~ANIC,~~ ~~1"( ~c.tc~"C~~ . ~. -cnrcU,.d `~~W~~E . App'izC1~ ~ -~47 ~~_G - WEST 'Ps~K -Ao/E _ ,-~o~z-T _T~~~~-_ - 1) (r~s~t~kt,~ w~n~E -~t.E I,tfA~~ttr~G __(tuE i±v_s~_~tcvi,.~~__ 2~ lNSTA~L - - (~ 5_. C-~ALi.Qrt 'D1G.~EL. _ ~t~F1- Ti~stK T_ Ejc~ic~. _o ~-- '~-~t c „ 3~ 'P~v~~ z ~~ F~L .ut.~ wort Ftx-t. -TAni~c -~ -rNe _ _ ~~ - govt-DE__-b" VENT - sT~,cc.-~o~.__Go~t8t1~--~ tom _G~r~~_ ~r~t__tC?~__ -~ To Ot1~StDE__~'~~E~_.- -~~-C4~t{ -~$hET 1N'DUGE-2 ~I- 7c~5~'~cK __ 5~ ~U~KE _ $~P[7.-E WA~ttNCrt _ n-t~ktuE _ To _ ~u~~_. --_ _ _ _- - ~~ ~ n~5--~a~ si~c~t..E-- ~~ To 3 - g~~:_ _. -~ws~KE ~~- ~~nt C~ _ _~-Y -T°- -~t`F(.E -WAS~FtI~FG~Li~~, . 7~ 'P1zov~ 8" _ vEntT-s-C~tc -wCTt-t---FsW __'ro__VENT sTcn~K - -- _~ or-t _ Mk~-ttNE_-. ~o _ourstc~------ -- --- - -_ - --- -- - _ _ - _ - -- - -