HomeMy WebLinkAboutBLD1996-00650 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 # •BLD96-0650 DATE ISSUED. : 10/17/96
SITE ADDRESS:40 COLWELL ST
:HADLOCK, WA 98339
APPLICANT. . . :ENCLUME PHONE: 385-6100
MAILING ADDR:PO BOX 700
:PORT HADLOCK WA 98368
PROPERTY OWNER: PHONE:
MAILING ADDR. . :
•
CONTRACTOR. . :SUNSHINE PROPANE PHONE:
MAILING ADDR: 10853 RHODY DR
:PORT HADLOCK WA 98339
CONTR. LIC #:SUNSHP*077QP EXPIRATION DATE: 11/17/96
PARCEL NO. . . :942902601
LEGAL DESC. . :STR 03-29-01 WWM, TAX #
LOT , BLOCK ,
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.
'61.4- 7---
( Final Approval: Q /400/097-0
l ,G71
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
r
JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD96-0650 DATE RECEIVED. : 10/16/96
SITE ADDRESS:40 COLWELL ST
:HADLOCK, WA 98339
APPLICANT. . . :ENCLUME PHONE:385-6100
MAILING ADDR:PO BOX 700
:PORT HADLOCK WA 98368
CONTRACTOR. . :SUNSHINE PROPANE PHONE: 385-5797
MAILING ADDR:10853 RHODY DR
:PORT HADLOCK WA 98339
CONTR. LIC #:SUNSHP*077QP EXPIRATION DATE: 11/17/96
ARCHITECT/ . . : PHONE:
DESIGNER •
MAILING ADDR:
PARCEL NO. . . :942902601 ALT: CON :
LEGAL DESC. . :STR 03-29-1 WWM, TAX # 211 BY DATE:
LOT , BLOCK ,
WATER: DATE:
DESCRIPTION OF IMPROVEMENT: propane tank installation
BUILDING TYPE *NON BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf
TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf
GARAGE/CARPORT • PROP. . : 0 PROP. . : 0 HTED BSMT. : 0 sf
WOODSTOVE • TOTAL. : 0 TOTAL. : 0 UNHT BSMT. : 0 sf
UBC OCCUPANCY GROUP: SEWAGE DISP. . : OTHER 0 sf
TYPE OF CONST • WATER SUPPLY. : CRPT/GAR. . : 0 sf
UNITS. : 0 STORIES: 0 HEAT TYPES. : DECKS 0 sf
DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf
FRAME TYPE: MAKE: YR: INDUSTRIAL: 0 sf
EST COST.$: 0 SIZE: BANK HT. . . : 0 ft
PROJ GRP. . : 679 SH SETBACK: 0 ft
Owner/agent FEES
Signature: type amount by date recpt
PRMT $ 40. 00 EMH 10/16/96 1127835
Date: B.C. $ 4.50 EMH 10/16/96 1127835
Issued By:
Date:
$ 44 .50 TOTAL
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN $T, PORT TOWNSEND WA 98368 PHA 360 379z4,4_5...0
INSTALLATION PERMIT APPLICATin1\5
WOODSTOVE PROPANE TANK PELLET STOVE 0TH !Rf' '@@ OCT I 6
r
_-, a_ ` ..
—-_SITE ADDRESS: . /0 e-ljL w—911#/ROAD NAME ,o/',-- , %.c J c.4 r
4 ZIP
9 DIGIT PARCEL ID NUMBER G2-�-.f _----- 7._ —^_ 7 ; 9 L,, C. �) -2 (f o I
APPLICANT PHONE 3.P-- C"-7)
MAILING ADDRESS r°. v• 7'
4?- r -6 Jo_ ZIP '?<Y-3 3 ,
PROPERTY OWNER £ P� „_) PHONE
MAILING ADDRESS ,54,-.-_,_ ,4-1 ,4..C,m�
ZIP
CONTRACTOR 'j L j � ) ) I li (R O P/`i& PHONE 3 . - ,_.5-77-.7
MAILING ADDRESS /0.813 I /ODy QP/
/;ofer //wLoc.< wAh. f ZIP 9'8352
STATE LICENSE # t.j L( /`l c p * 0 7 7 0 0 EXP. DATE " ' /%C
FEDERAL I.D. # q/ - /0 7 % cP(5-7
APPLICANT SIGNATURE �( �"� DATE /° / /Y / SS
FOR OFFICE;:USE ONLY
BASE FEE
t�� REC EIPT � � >�
STATE SURCHARG...E 4;50 »::: >::
CASH K „�
TOTAL DAVE i1
Fire.District Planning Area School District Zone
.H:\HOME\PLNCNTR\FORMS\INSTAU.FRM j;