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HomeMy WebLinkAboutBLD1996-00635 JEFFERSON COUNTY WOODSTOVE/ PROPANE TANK INSTALLATION/REMOVAL PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # 'BLD96-0635 DATE ISSUED. : 10/11/96 SITE ADDRESS: 161 S PALMER DR :PORT TOWNSEND, WA 98368 APPLICANT. . . :DWAYNE BLONDIN PHONE: 379-0736 MAILING ADDR: 161 S PALMER DR :PORT TOWNSEND WA 98368 PROPERTY OWNER: PHONE: MAILING ADDR. . : • CONTRACTOR. . :PACIFIC PROPANE INC PHONE: MAILING ADDR: 233 30TH ST :P 0 BOX 1957 :PORT TOWNSEND WA 98368 CONTR. LIC #:PACIFPI066JN EXPIRATION DATE: 04/07/97 PARCEL NO. . . : 938701102 LEGAL DESC. . : STR 12-30-02 WWM, TAX # LOT 2, BLOCK 11, CAPE GEORGE COL4 DESCRIPTION OF IMPROVEMENT: propane tank installation THERE IS ONE REQUIRED INSPECTION. PLEASE CONTACT THE PERMIT CENTER AFTER INSTALLATION/REMOVAL IN ORDER TO SCHEDULE YOUR INSPECTION. ( Final Approval:?AKK� At i c,N t tNA- et- 'S rOVIa ©K - 22,-/6 p . -c CALL 379-4455 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9 a.m. to 4 : 30 p.m. Inspector's Phone Hours 8 - 9 a.m. 24 Hour Recorder for Inspections JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD96-0635 DATE RECEIVED. : 10/10/96 SITE ADDRESS: 161 S PALMER DR :PORT TOWNSEND, WA 98368 APPLICANT. . . :DWAYNE BLONDIN PHONE: 379-0736 MAILING ADDR: 161 S PALMER DR :PORT TOWNSEND WA 98368 CONTRACTOR. . :PACIFIC PROPANE INC PHONE: 385-6998 MAILING ADDR: 233 30TH ST :P 0 BOX 1957 :PORT TOWNSEND WA 98368 CONTR. LIC #:PACIFPI066JN EXPIRATION DATE: 04/07/97 ARCHITECT/ . . : PHONE: DESIGNER MAILING ADDR: PARCEL NO. . . : 938701102 ALT: CON : LEGAL DESC. . : STR 12-30-02 WWM, TAX # BY : DATE: LOT 2, BLOCK 11, CAPE GEORGE COL4 WATER: DATE: DESCRIPTION OF IMPROVEMENT: propane tank installation BUILDING TYPE •NON BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 s: TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 s: GARAGE/CARPORT • PROP. . : 0 PROP. . : 0 HTED BSMT. : 0 s: WOODSTOVE • TOTAL. : 0 TOTAL. : 0 UNHT BSMT. : 0 s: UBC OCCUPANCY GROUP: SEWAGE DISP. . : OTHER • 0 s: TYPE OF CONST • WATER SUPPLY. : CRPT/GAR. . : 0 s: UNITS. : 0 STORIES: 0 HEAT TYPES. : DECKS • 0 s: DIMENSIONS: MOBILE HOME COMMERCIAL: 0 s: FRAME TYPE: MAKE: YR: INDUSTRIAL: 0 s: EST COST. $: 0 SIZE: BANK HT. . . : 0 fi PROJ GRP. . : 7836 SH SETBACK: 0 fi Owner/agent FEES Signature: type amount by date recpt PRMT $ 40. 00 EMH 10/10/96 112780' Date: B.C. $ 4 . 50 EMH 10/10/96 112780' Issued By: Date: $ 44. 50 TOTAL JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 360-379-4450 • INSTALLATION PERMIT APPLICATION WOODSTOVE PROPANE TANK PELLET STOVE OTHER i- ; !e tp I C.[rSITE ADDRESS: 91 1#ROAD NAME 1 ( \ t� w a/�\ r ((ace'�€61-L(C-) Pt , o.› rl s v�d j/ ZIP 9 DIGIT PARCEL ID NUMBER }j �- �C5 I - /6-2-- APPLICANT k6 (18 , PHONE3 '-O 736 MAILING ADDRESS 1 �o f PG , Cj L)- S('Vl e 0J ZIP ( � 3 6 PROPERTY OWNER Ct S O c) PHONE MAILING ADDRESS ZIP CONTRACTOR - � c \ '( C C o ipoLA Q--- PHONE,3 8c 6 Ci 9 MAILING ADDRESS P, O , F s - ) S 7 Q -P,_�._. . r-�- t1 S e 1 d (Ni A ZIP S �} STATE LICENSE # PVC- (-- -9 I O (o S N EXP. DATE * ` 1, 7 FEDERAL I.D. # l J ! J e 3c) APPLICANT SIGNATURE �� `�� • DATE /6 / to / FOR::OFFICE USE ONLY BASE FEE RECEIPT # ' C) STATE SURCHARGE 4.60 CASH / CK # TOTAL DATE Fire District Planning Area School District Zone H:\i-loivinPusicNTR\Foems\INsTALL.FRim 3C, (o - O(.a 3 3