HomeMy WebLinkAbout9511-13
r:~~.J.«j fL ii s. a.+~.
~tY of Port Townsend, Washington 98368 =Phone:
APPLICANT: ~ OWNER ~ CONTRACTOR ~ OTHER:
PERMIT # `7J~~ ~-
COMMENTS:
Legal Description: !~u''~.S/7E Addition
SITE ADDRESS: ~~jc '- N;DSGS'1 y~Fg;R Bloc'~(s) Lot(s) Zone:
OWNER: \ l' `~-~\~'~'tn~Y~Zv1
CONTRACTOR: `~~ ~
CONTRACTOR LICENSE *t
OWNER PHONE # ~' ' -
ADDRESS:
ADDRE55• ~
'',~, ~^_
EXPIRATION DATE: 1 b
CONTRACTOR PHONE
NE}. TYPE OF E tF1P1GiENT FEE r NO. `. TYPE E3F=FIX£UI~E FEE::;
WATER CLOSET
I R1:V GE
':;OvD;P' . STC:E " I BATHTUB
LAVATORY I
~ GAS FURNACE ber.i: ~
lJry~V CRS3 VlV BL Rl`ER brass: I
! l. ~ I SHOWER ~
.
UiviT riEATER bra"s: ICTCHEN SINK
BOILER bra's: DISHWASHER
i
~ REQ~
GAS PIPING 3IR£!~ j j LAUNDRY TRAY
j
i
~
j EVAPORaT10N COOLERS bru'r: ~ CLOTHES W,4SHER
( ~ WATER HEiTER
AC LniIT brisk
' j URINAL I
s: roru:
HEAT PUMP bra t ;DRINKING FOUNTAIN
j REHEAT BOX brnk j FLOOR SINK OR DRAIN
AIR HA.'`iDLING UNIT bra is
EX'rL~UST Eru`~5 ,SLOP SINK
j ;WATER PIPIING & ALTERATION
R~.`IGE HCCD GcsiLmcial; ~ G
I GREASE TRAP/INTERCEPTOR
I
I R4NGE HOOD (commercial) ~ z Z
j CLOTHES DRYER
I HOSE B[BBS
L'~W*i SPRINKLER SYSTEM
~
INCINERATOR j SWIMMING POOL
DUCT:1lTERATION BLDG. SEWER (mobile /moved house) j
TANKS e: ROOF DRAINS
REFRIGERATION UNIT
OTHER:
ou•oo OTHER:
PLUMBING PER'oIIT FEE,_
.% MECFiAN1G11 PERMIT FEE
- -- _---
(2 0 o e) Mechanical Fees
~' (2005) State Fee~~^
TOTAL
_3>~,s~
~'~v
Plumbing Fees _------ I Hwy /
State Fee (2005 )
TOTAL
APPLICANTS
$ ,3~~~0
Balance Due Fees Received by Deputy-Cletlc Date Recd Roceipt No.