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HomeMy WebLinkAbout9508-02PER.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
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