HomeMy WebLinkAboutBLD1994-00476 .
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 # •BLD94-0476 DATE ISSUED. : 07/15/94
SITE ADDRESS: 350 SEAMOUNT DR
:BRINNON, WA 98320
APPLICANT. . . :DONALD MITCHELL PHONE:
MAILING ADDR: 350 SEAMOUNT DR
:BRINNON WA 98320
PROPERTY OWNER:OWNER: 90916 PHONE:
MAILING ADDR. . :
CONTRACTOR. . :HOME GAS CO OF HOODSPORT INC PHONE:
MAILING ADDR:PO BOX 67
:HOODSPORT WA 98548
CONTR. LIC #:HOMEGCH140KE EXPIRATION DATE: / /
PARCEL NO. . . :993000026
LEGAL DESC. . : STR WWM, TAX # 441
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 Approval: -4.,_i ( Y1L a--/?- clzf i t-e A J0-1.?
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 # •BLD94-0476 DATE RECEIVED. : 07/15/94
SITE ADDRESS: 350 SEAMOUNT DR
:BRINNON, WA 98320
APPLICANT. . . :DONALD MITCHELL PHONE: 796-4017
MAILING ADDR: 350 SEAMOUNT DR
: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: / /
PARCEL NO. . . : 993000026 ALT: CON: NA _
LEGAL DESC. . :STR WWM, TAX # 441 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. . : 5836 SH SETBACK: 0 ft
Owner/agent FEES
Signature: type amount by date recpt
B.C. $ 4. 50 AK 07/14/94 94984
Date: PRMT $ 30. 00 AK 07/14/94 94984
Issued By: 7/1 '7
Date:
$ 34. 50 TOTAL
/ .
***JEFFERSON COUNTY INSTALLATION PERMIT APPLICATION
APPLICANT NAME—Do o/16 )C! d' \It, / dl.19 irh ', 'C__ / ) F' I) PHONE J - c)-U 6 ! 9 6 Y / 7
MAILING ADDRESS S t> rn c'h ( CN )'')-) i) L-f Y1 T 1) J"
Y 1 n )1 /1 l,-) 1...4„)47.k Z I P 9 e 7 v — � 47
PROPERTY OWNER NAME S n-, -,e__ PHONE
MAILING ADDRESS
•
ZIP
oy\).., CONTRACTOR HD '
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c\�, MAILING ADDRESS--C-),1),"i-/C))/9e(71124-4
D X L -1 , /�OOd,.S�OY' PHONE g.7 5� 1/J
4 STATE LICENSE NUMBER r�)'�'Je�7� lyd EXPIRATION DATE
FEDERAL I.D. NUMBER
SITE ADDRESS:
911#/ROAD NAME 9,f-3 U
,. j (.5 6 �7 �a l�U U � J �' r�'�nen ZIP CODE
LU GA,_
LEGAL DESCRIPTION:
SUBDIVISION NAME Se.g »-7 o(r)1 o 257f 72?7`e.S LOT- f, BLOCK DIVISION i
TAX NUMBER �- 9 DIGIT PARCEL NUMBER ,/� )
'I-/L- z7 9'94000 O2
SECTION/ p/ '.2,----TOWNSHIP 2,5 NORTH RANGE C3V�/ WM
DESCRIPTION OF IMPROVEMENT:
01 rt i lin 61 fir°
SIGNATURE �_' ", ,/>/` /f A /7,-,----4,././ 7 -- �`-/ - ./ ,212L/� X'�Z r/�dy � DATE i
FOR OFFICE USE ONLY
Planning Area Fire District School District
BUILDING TYPE IMPROVEMENT TYPE UBC OCCUPANCY
❑ NON ❑ WOD ❑ NEW GROUP
FRAME TYPE
❑ WOOD ❑ MANUFACTURED ❑ STEEL ❑ MASONRY OTHER
BASE FEE
PLAN CHECK RECEIPT # � r �/
STATE SURCHARGE DATE 71
3j I�
TOTAL �f CASH/CHECK #
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