HomeMy WebLinkAboutBLD1994-00335 JEFFERSON COUNTY WOODSTOVE/
PROPANE TANK INSTALLATION PE1MIT
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
206-379-4450
PERMIT # •BLD94-0335 DATE ISSUED. : 05/25/94
SITE ADDRESS: 281732 HIGHWAY 101
:PORT TOWNSEND, WA 98368
APPLICANT. . . :J. ZUNICK PHONE:
MAILING ADDR:PO BOX 406
:PORT TOWNSEND WA 98368
PROPERTY OWNER: skrre PHONE:
MAILING ADDR. . :
•
CONTRACTOR. . :FERRELL GAS PHONE:
MAILING ADDR: 704 MARINE DR
:PORT ANGELES WA 98362
•
CONTR. LIC #:FERREL*116K6 EXPIRATION DATE: / /
PARCEL NO. . . : 964514803
LEGAL DESC. . :STR 18-29-01 WWM, TAX #
LOT 4 , BLOCK 148, JUNCTION CITY BLK
DESCRIPTION OF IMPROVEMENT: Propane tank installation
THERE IS ONLY ONE INSPECTION REQUIRED. PLEASE CONTACT THE PERMIT CENTER IN
ORDER TO SCHEDULE YOUR INSPECTION. IF HE INSTALLATION DOES NOT COMPLY WITH
THE INSTALLATION REQUIREMENTS, THE IN'PECTOR SHALL PROVIDE A LIST OF NECESSARY
CORRECTIONS. PLEASE CONTACT THE BUI DING DEPARTMENT WHEN CORRECTIONS ARE
COMPLETE IN ORDER TO St E' LE A REIN'PECTION OF THE NSTALLATION.
( ) Final Approval:
CALL 379-4455 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.'
Office Hours 9 a.m. to 4 : 30 p.m.
Inspector's Hours 8 - 10 a.m.
24 Hour Recorder for Inspections
JEFFERSON COUNTY
INSTALLATION APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
206-379-4450
PERMIT # •BLD94-0335 DATE RECEIVED. : 05/25/94
SITE ADDRESS: 281732 HIGHWAY 101
:PORT TOWNSEND, WA 98368
APPLICANT. . . :J. ZUNICK PHONE: 385-7656
MAILING ADDR:PO BOX 406
:PORT TOWNSEND WA 98368
PROPERTY OWNER: 94 PHONE:
MAILING ADDR. . :
•
CONTRACTOR. . :FERRELL GAS PHONE: 457-1151
MAILING ADDR: 704 MARINE DR
:PORT ANGELES WA 98362
CONTR. LIC #:FERREL*116K6 EXPIRATION DATE: / /
PARCEL NO. . . : 964514803 ALT: CON: NA: _
LEGAL DESC. . :STR 18-29-01 WWM, TAX # WATER—7— DATE:
LOT 4 , BLOCK 148, JUNCTION CITY BLK SHORELINES:
BY: 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. . : CARPORT. . . : 0 sf
TYPE OF CONST • WATER SUPPLY. : GARAGE • 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. $: 1000 SIZE: BANK HT. . . : 0 ft
PROJ GRP. . : 5130 SH SETBACK: 0 ft
Owner/agent FEES
Signature: type amount by date recpt
PRMT $ 25. 00 MTM 05/25/94 92417
Date: B.C. $ 4 .50 MTM 05/25/94 92417
Issued By:
Date: a Cj
$ 29. 50 TOTAL
***JEFFERSON COUNTY INSTALLATION PERMIT APPLICATION
APPLICANT NAME PHONE
MAILING ADDRESS
ZIP
PROPERTY OWNER NAME PHONE
MAILING ADDRESS
C ZIP
NTRACTOR = 2•'i L.� /� k 7'S
MAILING ADDRESS -?' '/ r`d-, ✓4�.e- Lz 0�. 4' r II—LAO-PHONE 2--c'(: `/s• )- //S)
t- - I f' 'S 1 ,2
STATE LICENSE NUMBER/ /' f .!2, r l // -K ' EXPIRATION DATE
FEDERAL I.D. NUMBER
SITE ADDRESS: pS C�/73J 1/61
ZIP CODE
911#/ROAD NAME
LEGAL DESCRIPTION:
SUBDIVISION NAME LOT BLOCK DIVISION
TAX NUMBER 9 DIGIT PARCEL NUMBER
SECTION TOWNSHIP NORTH RANGE WM
DESCRIPTION OF IMPROVEMENT:
SIGNATURE DATE
FOR OFFICE USE ONLY
Planning Area Fire District School District
BUILDING TYPE IMPROVEMENT TYPE UBC OCCUPANCY
❑ NON ❑ WOD ❑ NEW GROUP
FRAME TYPE
❑ WOOD ❑ MANUFACTURED 0 STEEL 0 MASONRY OTHER
BASE FEE PLAN CHECK RECEIPT # 9,24111
STATE SURCHARGE DATE - /� 5
TOTAL 29
CHECK #
h:\HOME\PLNCNTR\FORMS\INSTALL.FRM