HomeMy WebLinkAboutBLD1998-00810 , {
JEFFERSON COUNTY BUILDING APPLICATION
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Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St .
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD98-0810 DATE RECEIVED. : 12/30/98
SITE ADDRESS : 631 MONTGOMERY LN
: PORT LUDLOW, WA 98365
APPLICANT. . . :JOHN RESECK PHONE : (360) 437-0351
MAILING ADDR: 631 MONTGOMERY LANE
: PORT LUDLOW WA 98365
CONTRACTOR. . : SUBURBAN PROPANE PHONE : 385-5096
MAILING ADDR: P 0 BOX 989
: PORT TOWNSEND WA 98368
CONTR. LIC # : SUBURPL044DA EXPIRATION DATE: 03/01/99
ARCHITECT/ . . : PHONE :
DESIGNER
MAILING ADDR:
PARCEL NO. : 990400253 Landslide Plat Cond Wetland Flooding
LEGAL DESC: STR 04-28-01 E WM Seismic Streams Erosion F & W
LOT 53 , BLOCK , TAX # Shoreline Aquifer
PORT LUDLOW #1 Area Com. Forest : Adj . 300 '
DESCRIPTION OF IMPROVEMENT: propane tank & stove 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 : COMMERCIAL: 0 sf
FRAME TYPE : INDUSTRIAL: 0 sf
EST COST. $ : 0 BANK HT. . . : 0 ft
PROJ GRP. . : 6557 SH SETBACK: 0 ft
Owner/agent FEES
Signature : type amount by date recpt
PRMT $ 46 . 00 LMB 12/30/98 10000
Date : B. C . $ 4 . 50 LMB 12/30/98 10000
Issued By:
Date :
(bld appl . txt 4/98)
$ 50 . 50 TOTAL
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JEFFERSON,COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK PELLET STOVE OTHER SA-C,�J SITE ADDRESS: ,, /
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9 DIGIT PARCEL ID NUMBER re-0- ',zoo-- A53
Legal Description:
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Subdivision Name ✓ ll/�v4�10 Block Lot(s)
Section Township North, Range WM
APPLICANT 0//I SSG Nic PHONE/7/S7_ 5/
MAILING ADDRESS ,47)'1 L=
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PROPERTY OWNER JJfj4 , e5e-6/�V/ PHONE' 2' O /
MAILING ADDRESS o5 • 9,o
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CONTRACTOR tjj/`j /1∎/..)Ir/ /79a)1 PHONE
MAILING ADDRESS
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STATE LICENSE # EXP. DATE
FEDERAL I.D. #
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APPLICANT SIGNATURE DATE h I / is
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H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98
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 # •BLD98-0810 DATE ISSUED. : 12/30/98
SITE ADDRESS : 631 MONTGOMERY LN
: PORT LUDLOW, WA 98365
APPLICANT. . . :JOHN RESECK PHONE : (360) 437-0351
MAILING ADDR: 631 MONTGOMERY LANE
: PORT LUDLOW WA 98365
PROPERTY OWNER:
PHONE :
MAILING ADDR. . :
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CONTRACTOR. . : SUBURBAN PROPANE PHONE :
MAILING ADDR: P 0 BOX 989
: PORT TOWNSEND WA 98368
CONTR. LIC # : SUBURPL044DA EXPIRATION DATE : 03/01/99
PARCEL NO. . . : 990400253
LEGAL DESC. . : STR 04-28-01 EWM, TAX #
LOT 53 , BLOCK , PORT LUDLOW #1
DESCRIPTION OF IMPROVEMENT: propane tank & stove installation
THERE IS ONE REQUIRED INSPECTION.
PLEASE CONTACT THE PERMIT CENTER AFTER INSTALLATION/REMOVAL
IN ORDER TO SCHEDULE YOUR INSPECTION.
( ) Final Approval : " 1/// (//;9,
(bldinspt . txt)
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