HomeMy WebLinkAboutBLD1994-00359I
1
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 # •BLD94-0359 DATE ISSUED. : 06/06/94
SITE ADDRESS:71 BLACK POINT CT
:BRINNON, WA 98320
APPLICANT. . . :JEWELL HOLT PHONE:
MAILING ADDR:71 BLACK POINT CT
:BRINNON WA 98320
PROPERTY OWNER: PHONE:
MAILING ADDR. . :
•
CONTRACTOR. . :HOME GAS CO OF HOODSPORT INC PHONE:
MAILING ADDR:PO BOX 67
:HOODSPORT WA 98548
CONTR. LIC #:HOMEGCH140KE EXPIRATION DATE: 06/01/94
PARCEL NO. . . : 980700809
LEGAL DESC. . :STR WM, TAX #
LOT 14 , BLOCK 8 , OLYMPIC CANAL DIV3
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 Approval: 61( €6.-- g - <
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 # •BLD94-0359 DATE RECEIVED. : 06/06/94
SITE ADDRESS:71 BLACK POINT CT
:BRINNON, WA 98320
APPLICANT. . . :JEWELL HOLT PHONE: 796-2090
MAILING ADDR: 71 BLACK POINT CT
:BRINNON WA 98320
PROPERTY OWNER: PHONE:
MAILING ADDR. . :
•
CONTRACTOR. . :HOME GAS CO OF HOODSPORT INC PHONE: 877-5311
MAILING ADDR:PO BOX 67
:HOODSPORT WA 98548
CONTR. LIC #:HOMEGCH140KE EXPIRATION DATE: 06/01/94
PARCEL NO. . . : 980700809 ALT: CON: NA: _
LEGAL DESC. . : STR WM, TAX # WATER-7- DATE:
LOT 14 , BLOCK 8 , OLYMPIC CANAL DIV3 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. . : 5712 SH SETBACK: 0 ft
Owner/agent FEES
Signature: type amount by date recpt
PRMT $ 25. 00 DE 06/06/94 92490
Date: B.C. $ 4.50 DE 06/06/94 92490
Issued By: /_2(-' J , `'�✓� t
Date: Jefferson County
a:i!Corig Oep
$ 29.50 TOTAL
***JEFFERSON COUNTY INSTALLATION PERMIT APPLICATION
APPLICANT NAME ;?.//,. PHONE 7.6 ay
MAILING ADDRESS 7 0/ �� �'
f --01-2,-- ---' l/(4(-- ZIP P
PROPERTY OWNER MAME - -' - '' , PHONE ,7��d Cj e
MAILING ADDRESS / -�/1- a
�G-✓� vU w C.e___. ZIP 9 c:2
CONTRACTOR -� -uQ___-- ���'`-mss-_
MAILING ADDRESS /64-,---r-2— PHONE
STATE LICENSE NUMBER EXPIRATION DATE
FEDERAL I.D. NUMBER
SITE ADDRESS: , I ���
911#/ROAD NAME ptc�4- U�� 4\
ZIP CODE
LEGAL DESCRIPTION: Q y
SUBDIVISION NAME L%'�-�-�/%y �a-> � /Y
OT BLOCK � DIVISION �
TAX NUMBER 9 DIGIT PARCEL NUMBER (f O ""?o 0 - ' 1
SECTION TOWNSHIP NORTH RANGE WM
DESCRIPTION OF IMPROVEMENT: ✓ -- G .--e--,sxJ -e-_,_-Q`J
SIGNATURE DATE
****************************************************************************************************
FOR OFFICE USE ONLY
Planning Area Fire District School District
BUILDING TYPE IMPROVEMENT TYPE UBC OCCUPANCY
❑ NON 0 WOD 0 NEW GROUP
FRAME TYPE
❑ WOOD 0 MANUFACTURED ❑ STEEL 0 MASONRY OTHER
BASE FEE '--
PLAN CHECK RECEIPT # 70'e L/ / 0
STATE SURCHARGE i ., gDATE ' / // 7
TOTAL `-'2 l T2) CASH/CHECK # (6. 6
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