HomeMy WebLinkAboutBLD1998-00246 JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD98-0246 DATE RECEIVED. : 04/24/98
SITE ADDRESS: 112 CRESSEY LN
:PORT LUDLOW, WA 98365
APPLICANT. . . :PATRICK ALLEN PHONE:779-3811
MAILING ADDR:PO BOX 923
:POULSBO WA 98370
CONTRACTOR. . :FERRELLGAS PHONE: 360-877-5311
MAILING ADDR: 19920 HWY 101
:PO BOX 67
:HOODSPORT WA 98548
CONTR. LIC #:FERRELP055LH EXPIRATION DATE: 05/19/98
ARCHITECT/ . . : PHONE:
DESIGNER
MAILING ADDR:
PARCEL NO. : 990400137 landslide _ plat cond _ wetland -- flooding
LEGAL DESC:STR 09-28-01 E WM seismic streams _ erosion _ f & w
LOT 37, BLOCK , TAX # aquifer recharge
PORT LUDLOW AREA 1
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: COMMERCIAL: 0 sf
FRAME TYPE: INDUSTRIAL: 0 sf
EST COST. $: 0 BANK HT. . . : 0 ft
PROJ GRP. . : 9092 SH SETBACK: 0 ft
Owner/agent FEES
Signature: type amount by date recpt
PRMT $ 46. 00 MM 04/24/98 1221
Date: B.C. $ 4 . 50 MM 04/24/98 1221
Issued By:
Date:
(bld_appl.txt 4/98)
$ 50 .50 TOTAL
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 # •BLD98-0246 DATE ISSUED. : 04/24/98
SITE ADDRESS: 112 CRESSEY LN
:PORT LUDLOW, WA 98365
APPLICANT. . . :PATRICK ALLEN PHONE: 779-3811
MAILING ADDR:PO BOX 923
:POULSBO WA 98370
PROPERTY OWNER: PHONE:
MAILING ADDR. . :
•
CONTRACTOR. . :FERRELLGAS PHONE:
MAILING ADDR: 19920 HWY 101
:PO BOX 67
:HOODSPORT WA 98548
CONTR. LIC #:FERRELPO55LH EXPIRATION DATE: 05/19/98
PARCEL NO. . . :990400137
LEGAL DESC. . : STR 09-28-01 EWM, TAX #
LOT 37 , BLOCK , PORT LUDLOW AREA 1
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.
( inal Appr• •aP. r - . L _
. ,ao i V •P
VIVA
(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
•
Ili ,
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 360-379-4450
INSTALLATION PERMIT APPLICATION p
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SITE ADDRESS: (� S Gam/ L fU
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9 DIGIT PARCEL ID NUMBER 9 ! D V k /2 7
APPLICANT /e,e1c�j S' PHONE <7c/'7/S
MAILING ADDRESS ,7Q C/ // 1 - (- i /--
ZIP Ll . 3
PROPERTY OWNER 0 0'--)-R. (�K - I(ixi_/vs 1 � PHONE
MAILING ADDRESS Op" �a f)/) (.)(S i9D(D g) I Id l.11 eSS ty L Ai ,
co 2+ Z c-/ 10 w ZIP r/P3los---
CONTRACTOR kV- -I- ((\ 0.-S PHONE ' 7-17c
MAILING ADDRESS -7 (7 /d(L,'n"L De,
27i /1-<-5Z-/-S �/' ZIP ��✓?6o_.:3
\e 7/J1G8e-, -7
STATE LICENSE # � , ff)a /�EXP. DATE y //-97
FEDERAL I.D. #
/ ? SL
APPLICANT SIGNATURE DATE 'q�J / ! a
FOR OFFICE USE ONLY
BASE FEE RECEIPT #
STATE SURCHARGE 4.50 CASH/CK At
TOTAL �t DATE / /
H:\HOME\PLNCNTR\FORMS\INSTALL.DOC
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