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HomeMy WebLinkAbout9509-03PER.II~IT APPLI~AT~OI\I City of Port Townsend,'Washington 98368 Phone: (206)385-3000va~1: (206385-4290i'. APPLICANT: Q OWNER ~ CONTRACTOR ~ OTHER DAN f ~ C- fr PERMIT # 9~09-0~ pp ,,// (~k-S~iaG~~ Legal Description: Off; GiNR(. 7o~.WlR'E AddltlOn SITE ADDRESS: 72T' ff~~ /` $'l H1ock(s) .3 Lot(s) Zone:~pC3 OWNER: WPSSQN J~-~~ • ~I° ADDRESS: QZy I,y/Ytr1sN~~ ~~, (- CONTRACTOR: ~AQ-~ ~'~ t'~~°~ ADDRESS: 5~/O ~'. !+'A(~IL°"~S~it~~ ~• N p/LOUtN C, CONTRACTOR LICE:~iSE # /II A~?yFP i ooK9 EXPIRATION DATE: 2 OWNER PHONE x 3 c~cS~ ~O ~ 8 ~ CONTRACTOR PHONE x J 8~~ ~ ~3 NE3_ TYPE';OFE 'UIPlt•IENT ~= ~ FEE 'iNO. TYPE©F=ED~I'ETRE; M~.~ .FED ! RANGE WATER CLOSET 'V+GCDiPcLI.E; STCVE ~ GAS FURNACE btu's: I BATHTUB LAVATORY -""'" 1 7.00 CGTi v cRSiOi~ BUiu~iER bov is i HWNER i ' (,tiiT HEATcR bari: CHEN SINK 7.00 BOILER brx's: ORK MUS Ci t°A ° ` D[S ASHER GAS PIPING UNIF L1 DRY TRAY EV.4''ORaTION COOLERS bru% -/ ! CL THES W. AC L~`iIT bru is ATER HEATERUNIFORM RLiJMBINIG DE HEAT PUMP bre is wiu: ~ ~. r B.i'QAL REHEAT BOX bru'r: I ` ' DRINKING FOUNTAIN AIR HANDLING UNIT bru is FLOOR SINK OR DRAIN . ~~ j E7C-IAGST FANS ! - SLOP S[ K ~ 7. Q7 ~ RANCE HOOD (reside:s:ial; ; WATER (PIING & ALTERATION 70.7' ~ R.~4NGE HOOD (commercial? GREAS RAI9JiN C$PTOR ~ CLOTHES DRYER I H BBS e INCINERATOR ! SPRI ER S}~ ~ DUCT' ALTERATION __ $W1M. I 'POOL „ TANKS r: B Q/`.SEWER mobileJtn vedhousa} REFRIGERATION UNIT OF DR.VN , i. ~-~ OTHER OTHER _ ' I MECHANICAL PER.LIIT FEE •G PLUMBING'-PEI{MIT EE& ao 110.322.100.00) )10.356.102.00) Mechanical Fees State Fee 'I'~T A i APPLICANT'S 9-~ • so a~ ,SD x`.50 '~3.c~o Plumbing Fees State-Fee TOTAL Balance Due Foes Received by Deputy-Clerk ~~~/~~ Date Recd ~rS' ~~ N,SO 59.50 6~-c%~f/G~: Receipt No.