HomeMy WebLinkAboutBLD1994-00465 JEFFERSON COUNTY WOODSTOVE/
PROPANE TANK INSTALLATION/REMOVAL PERMIT
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
206-379-4450
PERMIT # •BLD94-0465 DATE ISSUED. : 07/14/94
SITE ADDRESS: 194 FOXFIELD DR
:PORT TOWNSEND, WA 98368
APPLICANT. . . :EDWIN UNDERWOOD PHONE:
MAILING ADDR: 6050 OAK BAY RD
:PORT LUDLOW WA 98365
PROPERTY OWNER: PHONE:
MAILING ADDR. . :
•
CONTRACTOR. . : £Ver W Gr ry Zr1 G PHONE:
MAILING ADDR: 251 5\ }w�� �pI
9+. A eIes vat cl 3LD2_
CONTR. LIC #: EXPIRATION DATE: / /
PARCEL NO. . . : 965000098
LEGAL DESC. . : STR 27-30-01 WWM, TAX # 161
LOT 104 , BLOCK , KALA POINT DIV 4
DESCRIPTION OF IMPROVEMENT: WOODSTOVE PERMIT
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: ,y � �� --
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/DEMOLITION/REMOVAL APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
206-379-4450
PERMIT # •BLD94-0465 DATE RECEIVED. : 07/13/94
SITE ADDRESS: 194 FOXFIELD DR
:PORT TOWNSEND, WA 98368
APPLICANT. . . :EDWIN UNDERWOOD PHONE: 437-9908
MAILING ADDR: 6050 OAK BAY RD
:PORT LUDLOW WA 98365
PROPERTY OWNER: PHONE:
MAILING ADDR. . :
CONTRACTOR. . : PHONE:
MAILING ADDR:
CONTR. LIC #: EXPIRATION DATE: / /
PARCEL NO. . . : 965000098 ALT: CON: NA _
LEGAL DESC. . :STR 27-30-01 WWM, TAX # 161 WATER: DATE:
LOT 104 , BLOCK , KALA POINT DIV 4 SHORELINES:
BY: DATE:
DESCRIPTION OF IMPROVEMENT: WOODSTOVE PERMIT
BUILDING TYPE *NON BEDROOMS--- BATHROOMS-- MAIN FL. . . : 1480 sf
TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf
GARAGE/CARPORT •A PROP. . : 3 PROP. . : 2 HTED BSMT. : 0 sf
WOODSTOVE •Y TOTAL. : 3 TOTAL. : 2 UNHT BSMT. : 0 sf
UBC OCCUPANCY GROUP: SEWAGE DISP. . :SEPTIC CARPORT. . . : 0 sf
TYPE OF CONST • WATER SUPPLY. :PUD GARAGE • 400 sf
UNITS. : 0 STORIES: 0 HEAT TYPES. :EEE/ / DECKS 93 sf
DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf
FRAME TYPE: MAKE: YR: INDUSTRIAL: 0 sf
EST COST. $: 0 SIZE: BANK HT. . . : 0 ft
PROJ GRP. . : 3877 SH SETBACK: 0 ft
1
1 Owner/agenti -f _. FEES
Signature: A n' ' '�=r type amount by date recpt
PRMT $ 25. 00 MTM 07/14/94 95035
Date: " B.C. 4.50 MTM 07/14/94 95035
tolati-
/ Jcia
Issued By: X94.' 4917/7//
.Jett&s*.i N11'11 f tannin.
Date: R Suilding apartmEnt
$ 29. 50 TOTAL
• •
***JEFFERSON COUNTY INSTALLATION PERMIT APPLICATION
APPLICANT NAME ,Nv V V- tUf 01 PHONE
MAILING ADDRESS ( LC _AlC
l ig l I Q J U ZIP p Lo
PROPERTY OWNER NAME PHONE
MAILING ADDRESS
ZIP
CONTRACTOR CAT1121.L I�J./ (.NY\ C )A\._ 9
MAILING ADDRESS PHONE
STATE LICENSE NUMBER EXPIRATION DATE
FEDERAL I.D. NUMBER
SITE ADDRESS:
911#/ROAD MAME ZIP CODE
LEGAL DESCRIPTION:
SUBDIVISION NAME LOT BLOCK DIVISION
TAX NUMBER 9 DIGIT PARCEL NUMBER
SECTION TOWNSHIP NORTH RANGE WM
DESCRIPTION OF IMPROVEMENT:
SIGNATURE DATE
•,r,►,*********,r,r,r,***********,rw,r,r+t,e,t***************************,►**********s*,t,e,e***********,****,r,r,r***
FOR OFFICE USE ONLY
Planning Area Fire District School District
BUILDING TYPE IMPROVEMENT TYPE UBC OCCUPANCY
❑ NON ❑ WOO ❑ NEW GROUP
FRAME TYPE
❑ WOOD 0 MANUFACTURED 0 STEEL 0 MASONRY OTHER
BASE FEE V
PLAN CHECK X RECEIPT # J
STATE SURCHARGE I Lj
D DATE l IL/
TOTAL CASH/CHECK # C'0
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