HomeMy WebLinkAbout9406-25"""' HOOD TO. 1206:
~ ~ER.~I'r .,APP~ICA.'1'
Pity. of Port Townsend. Washingtan 98368 Phone: (206)385
290 PAGE 2
APPLICANT: ~ OVER ~ CONTRACTOR ~ OTHER
COM`iElr"TS: ~LyM3!/JG FOR SrYlSr dJG roX.c,- _ PEI2I~IIT # 9~6 -~~--
SITEA~DRE55:1a~a ~~nt~r t
Ow~ER: * W 4F ADDRESS: 61S ~.C~ SL'oulm i.~aM 7Ca(. SPaf~l~
CONTRACTOR: to ~e. G~~flr rv~ , ~ d' AADRESS: -'
CONTRACTOR LICE*iSE # _. EXPIRATION DATE -
OWNERPHONE i ~ a 6 ~ ~ ~'' ' 9 ~ aS CONTRACTOR PHONE ~
ISO. " TYI'E'OF;E UIl>MT:N`T~~°~'~ ^:~^~PE~'' :y`IO. ~ IXT'E4FFIXT[3RE~~' .,.FF
' CATER CLOSE'
RANGE _ __
WOODlPELI.ET STOVE B`tTHT~
GAS FUR*IACE bra'x LAVATORY
COIvtieRS10N $URNER bex'x ST-IO~ER
UNIT HEATER bw r K1T EN SINK
SOCCER jsrs's ASH$R.
GAS PIPEIG - ~ Its 'AIDRY TRAY
EVAPORATION COOLERS bra's: A R ' CLOTHES W.tiSH£R
AC tJNTI bra's: WATER HEATER
HFATPUMP brsri URINAL
DRiNKINGFOUN'fAR3
I REHEAT80X bsur: RECEIV
' I FLOOR FINK OR DRAIN
! bras
AIR HANDLING UivTI
I FJQ-iAt35TfAN5 ~ SLOP SINK
I RAItiGE HOOD (tes;dercial) z ~ WATERR PIPIING & ALTERATION .
CEPTOR i .
AAItiGE HOOD (com • itl) 1 i GREASE TRAP/1: iTER `
1 CLOTHES DRYER an I HOSE BiBSS
LAWN spgINKLER SY E:tiI 1 r
I
i ItiCINER4TOR SWI;~'SMING POOL I
{ DUCT ALTERATION v
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bil
use
s
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mo
BLDG. SEWER {mo
TANKS
REFRIGERATION UNiT I I ROOF DRAINS
OTHE& I OTHER:
WIIT FEE
ER
IYtEGHr4`IiCAL P E ~{IT FEE
NG R.
PLUMBI P
j.322.100.p0)
).38b.102.00)
Mectianital Fees
State Fee
TT~(YYL'AL
~1,ICANT's
8 r ~ ~-
.._.__._ r.,.
plumbing Fees -
State F`ee .~. ~.:--~------
TOTAL
Fea Reaaved by Depuly-Clerk _ __ Date Recd _ Rooeigt AIo,.=
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