HomeMy WebLinkAboutBLD1994-00347 JEFFERSON COUNTY
INSTALLATION APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
206-379-4450
PERMIT # •BLD94-0347 DATE RECEIVED. : 05/31/94
SITE ADDRESS: 850 OLD GARDINER HWY
:GARDINER, WA 98334
APPLICANT. . . :BILL WILKERSON PHONE:
MAILING ADDR: 850 OLD GARDINER HWY
:GARDINER WA 98334
PROPERTY OWNER: PHONE:
MAILING ADDR. . :
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CONTRACTOR. . : SUNSHINE PROPANE PHONE: 385-5797
MAILING ADDR: 304 10TH ST
:PORT TOWNSEND WA 98368
CONTR. LIC #: SUNSHP*077QP EXPIRATION DATE: 11/17/94
PARCEL NO. . . : 002331016 ALT: CON: NA: _
LEGAL DESC. . : STR 33-30-01 WM, TAX # WATER : DATE:
LOT , BLOCK , 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. $: 0 SIZE: BANK HT. . . : 0 ft
PROJ GRP. . : 5694 SH SETBACK: O ft
Owner/agent FEES
Signature: type amount by date recpt
PRMT $ 25. 00 LMS 05/31/94 94559
Date: B.C. $ 4 . 50 LMS 05/31/94 94559
Issued By:
Date:
$ 29 . 50 TOTAL
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JEFFERSON COUNTY WOODSTOVE/
PROPANE TANK INSTALLATION PERMIT
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
206-379-4450
PERMIT # •BLD94-0347 DATE ISSUED. : 05/31/94
SITE ADDRESS: 850 OLD GARDINER HWY
:GARDINER, WA 98334
APPLICANT. . . :BILL WILKERSON PHONE:
MAILING ADDR:850 OLD GARDINER HWY
:GARDINER WA 98334
PROPERTY OWNER: PHONE:
MAILING ADDR. . :
CONTRACTOR. . : SUNSHINE PROPANE PHONE:
MAILING ADDR: 304 10TH ST
:PORT TOWNSEND WA 98368
CONTR. LIC #: SUNSHP*077QP EXPIRATION DATE: 11/17/94
PARCEL NO. . . : 002331016
LEGAL DESC. . : STR 33-30-01 WM, TAX #
LOT , BLOCK
DESCRIPTION OF IMPROVEMENT: propane tank installation
THERE IS ONLY ONE INSPECTION REQUIRED. PLEASE CONTACT THE PERMIT CENTER IN
ORDER TO SCHEDULE YOUR INSPECTION. IF THE INSTALLATION DOES NOT COMPLY WITH
THE INSTALLATION REQUIREMENTS, THE INSPECTOR SHALL PROVIDE A LIST OF NECESSARY
CORRECTIONS. PLEASE CONTACT THE BUILDING DEPARTMENT WHEN CORRECTIONS ARE
COMPLETE IN ORDER TO SCHEDULE A REINSPECTION OF THE INSTALLATION.
( ) final A rova .e,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
1
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***JEFFERSON COUNTY INSTALLATION PERMIT APPLICATION
APPLICANT MAME '7I \ ` L.)1 Ili.vs C)I J PHONE
MAILING ADDRESS S5O OIC rd rte
e-\ arc( t ZIP ICI � y
PROPERTY OWNER NAME PHONE
MAILING ADDRESS S
ZIP
CONTRACTOR
MAILING ADDRESS PHONE
STATE LICENSE NUMBER EXPIRATION DATE
FEDERAL I.D. NUMBER
SITE ADDRESS: 8 E(\
911#/ROAD NAME O\d (—lard
i npV ZIP CODE + O 3 Li
L,J� U ` (,� 1 1 1.� V
LEGAL DESCRIPTION:
SUBDIVISION NAME LOT BLOCK DIVISION
TAX NUMBER 9 DIG1T PARCEL` NUMBER �
SECTION ,; ITr
TOWNSHIP J v NORTH RANGE LID
j
DESCRIPTION OF IMPROVEMENT: p `sp[A.A9 -1-Ct A
SIGNATURE DATE
FOR OFFICE USE ONLY
Planning Area Fire District School District
BUILDING TYPE IMPROVEMENT TYPE UBC OCCUPANCY
❑ NON ❑ WOO ❑ NEW GROUP
FRAME TYPE
❑ WOOD ❑ MANUFACTURED 0 STEEL ❑ MASONRY OTHER
BASE FEE C)
PLAN CHECK RECEIPT # (;1145
STATE SURCHARGE `"'—� DATE n,514
TOTAL (� _ CASH/CHECK # 35D
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