HomeMy WebLinkAboutBLD2005-00159 IRJILDING PERMIT APPLICATIN BLRDOe 001159
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00159 Received Date: 3/18/2005
SITE ADDRESS: 63 ROBIN LN
PORT LUDLOW, 98365
OWNER: FRANK D MILLER PHONE:
SHERRY A MILLER
PO BOX 65103
PORT LUDLOW WA 983650103
SUBDIVISION: BRIDGEHAVEN DIV 8 Block: Lot: 13
PARCEL NUMBER: 935900013 Section: 8 Township: 27 N Range: 01 E
CONTRACTOR: C H S PHONE: (360)732-4585
PO BOX 518
AUBURN WA 98071-0518
Contractor's License CHSIN**9790Z Expires 9/7/2006
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI' NO MLA REQ'D - MOVING ABOVE GROUND PROPANE TANK 250
GALLON
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION MAIN:
CODE EDITION: 2003 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $49.00 CJZ 03/18/05 71638
Total: $49.00
$Cj.0
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PROPANE/PELLET/WOOD STOVE & TANK INSTALLATION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00159 Received Date 3/18/2005
SITE ADDRESS: 63 ROBIN LN Issue Date 3/18/2005
PORT LUDLOW, 98365
APPLICANT: FRANK D MILLER PHONE:
SHERRY A MILLER
PO BOX 65103
PORT LUDLOW WA 983650103 13
SUBDIVISION: BRIDGEHAVEN DIV 8 Block: Lot:
PARCEL NUMBER: 935900013 Section: 8 Township: 27N Range: 01 E
CONTRACTOR: C H S PHONE: (360)732-4585
PO BOX 518
AUBURN WA 98071-0518
Contractor's License CHSIN**9790Z Expires 9/7/2006
OWNER, FRANK D MILLER PHONE:
if different: SHERRY A MILLER
PO BOX 65103
PORT LUDLOW WA 983650103
PROJECT DESCRIPTION: NO MLA REQ'D - MOVING ABOVE GROUND PROPANE TANK 250
GALLON
THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 3/18/2006.
REQUIRED INSPECTIONS:
Tank/Line/Appliance: fXTEJs?rof _ I (INK F rn ef6 1- _09/6v1
j'— 3 /
FinalApproval: or ivtcil 2�/G�Gif/
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
I:\F_BLD_Permit_Propane.rpt 10/29/19c