HomeMy WebLinkAboutBLD1996-00248 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 # •BLD96-0248 DATE ISSUED. : 04/19/96
SITE ADDRESS: 10635 RHODY DR
:PORT HADLOCK, WA 98339
APPLICANT. . . :DICK OLSON
PHONE: 360-385-2334
MAILING ADDR: 10635 RHODY DR
:PORT HADLOCK WA 98339
PROPERTY OWNER: PHONE:
MAILING ADDR. . :
CONTRACTOR. . : SUBURBAN PROPANE PHONE:
MAILING ADDR:P 0 BOX 989
:PORT TOWNSEND WA 98368
CONTR. LIC #: SUBURPDO88PA EXPIRATION DATE: 10/01/96
PARCEL NO : 942903704
LEGAL DESC : STR WM, 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.
( Final Approval: (D K T - 2- 3- 94. 4.4g6.4A-4.7
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
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JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD96-0248 DATE RECEIVED. : 04/19/96
SITE ADDRESS: 10635 RHODY DR
:PORT HADLOCK, WA 98339
APPLICANT. . . :DICK OLSON PHONE: 360-385-2334
MAILING ADDR: 10635 RHODY DR
:PORT HADLOCK WA 98339
CONTRACTOR. . :SUBURBAN PROPANE PHONE: 360-273-7677
MAILING ADDR:P 0 BOX 989
:PORT TOWNSEND WA 98368
CONTR. LIC #:SUBURPDO88PA EXPIRATION DATE: 10/01/96
ARCHITECT/ . . :
PHONE:
DESIGNER •
MAILING ADDR:
PARCEL NO. . . :942903704 ALT: CON :
LEGAL DESC. . : STR WM, TAX # BY : DATE:
LOT , BLOCK ,
WATER: DATE:
CAR 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. . : 7790 SH SETBACK: 0 ft
Owner/agent FEES
Signature: type amount by date recpt
PRMT $ 40 . 00 EMH 04/19/96 1118961
Date: B.C. $ 4 . 50
Issued By:
Date:
$ 44 . 50 TOTAL
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 360-379-4450
INSTALLATION PERMIT APPLICATION 8.0)26 - o62Ll�
WOODSTOVE X PROPANE TANK PELLET STOVE OTHER
SITE ADDRESS:
911#/ROAD NAME /66)5 ?ha/ Pr
h//Ore ZIP P533Ci
9 DIGIT PARCEL ID NUMBER ( 42?(9_3 lQ�
APPLICANT �(G L< (J PHONE 3rJS - 23-3
MAILING ADDRESS
ZIP
PROPERTY OWNER tW\ O iS®v\ PHONE ,385-.•233'./
MAILING ADDRESS
ZIP
CONTRACTOR SJ 10v p)Q,r/? Frotpwy-/e PHONE 385= 5-0.n.,
MAILING ADDRESS J6 _5cce764 V.
-r-/
reiwn Sun" LJ4 . ZIP
STATE LICENSE # EXP. DATE
FEDERAL I.D. #
PPALICANT SIGNATURE DATE ` / /7 / 9�
FOR OFFICE USE ONLY
BASE FEE ryb °" RECEIPT # ///
STATE SURCHARGE 4.50 CASH/ # / /�
TOTAL 957 S DATE 3'/ `/i 96
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