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Home My WebLink About9405-09PERMIT APPLICATION _ City of Port nsend, Washington 98368 Phone: (20[7385- 3000 ,Fax: (20C}385-42 OWNER CONTRACTOR OTHER: AI'PLICAu~1T: ^ ® ^ PERMIT # 9~ ~ ~ / COMMENTS: SITE ADDRESS: ~Oy`f-I- cWln~`~`~^ OWNER: ~.jQ~T~°`" ~c•-~-~ ~I~S ADDRESS: ~ (~i J S~F" ~+fTe~rv' uSrr~d. ccNTRACrcR: C,-, <l„ . Pao n c.~~.. _ ADDRESS: ~o~ /0~4 ,S-t- p~/ -f- ~~w~.s~~ CONTRACTOR L1CE~ISE x~~,LS N 1~~ ~7~JQt7 E(PIRATION DATE: IT/~1I7 H OWNERPHONE;f ~~S-'730 CONTRACTORPHONEi ~8S'S747 NO. TYPE OF E UIP141ENT ~ FEE-.. IVO. TYPE ©F!FIXT[IRE ~ .~<;; .FEE; I RANGE WATER CLOSET WOOD/PEL.LETSTOVE ~ BATHTUB I GAS FURNACE brv% LAVATORY i CON'vcRSION BL'R~IER bru'r: SHOWER L'NIT HEATER bn.% u Z KITCHE*I SINK BOILER brat's: DISHWASHER GAS PIPING cytf cf5 C Z2U/dC ~I LAUNDRY TRAY EVAPORATION COOLERS bra's: I ; CLOTHES WASHER ~ AC UNIT bruit I I WATER HEATER HEAT PUMP brrr'r: rant: URINAL REHEAT BOY bruit I DRINKING FOUNTAIN AIR HANDLING ULIIT bae'a: I I FLOOR SINK OR DRAIN j EXHAUST F~u`1S I SLOP SINK j RA,`IGE HOOD (residential) ; ' ! I WATER PIPIING & ALTERATION I RADiGE HOOD (commercial) I I I GREASE TRAP/INTERCEPTOR I I CLOTHES DRYER I HOSE BIBBS I INCINERATOR AWN SPRINKLER SYSTEM DUCT ALTERATION ~ SWIMMING POOL TANKS e: BLDG. SEWER (mobile /moved house) REFRIGERATION UNIT ROOF DRAINS OTHER: OTHER MECHANICAL PERbtIT FEE /$=Y'- PLUMBING PERMIT FEE 10.322.100.00) 10.386.102.00) Mechanical Fees State Fee TOTAL ~LICANT'S $ ---_- 7~ Balance Due S7J _ -- Plumbing Fees ~~ State Fee . 0~ 0 / ~~ TOTAL Fees Received by Deputy-Clem Date Recd Receipt No.