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BLD1993-00022
f SE'F`F'ERS, QN COUNTY- WQQDSSTQVE / P.L.0P.131\TE TANK I N=„13LL.A.TI QN PERMIT Jefferson County Planning and Building Department Courthouse, 3rd Floor PO Box 1220 Port Townsend, WA 98368 206-385-9141 PERMIT # •BLD93-0022 DATE ISSUED. : 01/14/93 SITE ADDRESS : 211 OTTO ST :PORT TOWNSEND, WA 98368 APPLICANT. . . :BURTON BELL PHONE : 385-4041 MAILING ADDR:AMI INC : 211 OTTO STREET :PORT TOWNSEND WA 98368 PROPERTY OWNER: PHONE : MAILING ADDR. . : • CONTRACTOR. . :SUNSHINE PROPANE PHONE : 385-5797 MAILING ADDR: 304 10TH STREET :PORT TOWNSEND WA 98368 CONTR. LIC #:WARMWS*123BN EXPIRATION DATE: 11/01/03 PARCEL NO . . . : 001212-027 LEGAL DESC . . : STR 21-30-01 WWM, TAX # LOT 3 , BLOCK , SPERRY/SLATER DESCRIPTION OF IMPROVEMENT: switching propane tanks THERE IS ONLY ONE INSPECTION REQUIRED . 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 : CALL 385-9141 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS . Office Hours 9 a.m. to 5 p.m. Inspector ' s Hours 9 - 10 a.m. 24 Hour Recorder for Inspections . 111 a • IEFFERS ©N C0tJN Z S 1sTSTALLATI ©N AFFLi C a.T = ON Jefferson County Planning and Building Department Courthouse, 3rd Floor PO Box 1220 Port Townsend, WA 98368 206-385-9141 PERMIT # •BLD93-0022 DATE RECEIVED. : 01/14/93 SITE ADDRESS : 211 OTTO ST :PORT TOWNSEND, WA 98368 APPLICANT. . . :BURTON BELL PHONE: 385-4041 MAILING ADDR:AMI INC : 211 OTTO STREET :PORT TOWNSEND WA 98368 PROPERTY OWNER: PHONE : MAILING ADDR. . : • CONTRACTOR. . : SUNSHINE PROPANE PHONE : 385-5797 MAILING ADDR: 304 10TH STREET :PORT TOWNSEND WA 98368 CONTR. LIC #:WARMWS*123BN EXPIRATION DATE: 11/01/03 PARCEL NO . . . :001212-027 HEALTH: LEGAL DESC . . : STR 21-30-01 WWM, TAX # BY: DATE : LOT 3 , BLOCK , SPERRY/SLATER SHORELINES : BY: DATE •--.._._-._.---____ DESCRIPTION OF IMPROVEMENT : switching propane tanks 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 : O 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. . : 3538 SH SETBACK: O ft Owner/agen -- - FEES Signature type amount by date recpt PRMT $ 25 . 00 MTM 01/14/93 73770 Date : B . C . $ 4 . 50 MTM 01/14/93 73770 Issued By: Date: /( /7 ( 1�. . $ 29 . 50 TOTAL • _ • ***JEFFERSON COUNTY INSTALLATION PERMIT APPLICATION • ' G-dks4.t tA,., r�79 .—89'/,3 PROPERTY OWNER NAME ��jQTnnJ ()Eki„ l'IMz Q,A/►,L',,. 2 JK-tcy I MAILING ADDRESS a I ` `'1 1 O SS# Pi ZIP '3(67 CONTRACTOR ,SUt)SHINF 1 RO PP1NE MAILING ADDRESS 3oL1 - f OtH Smee--I" PHONE 3£ -5?9 7 PoRr TowN5E0Q r) , lAl>=1 , q 8 3(4 STATE LICENSE NUMBER V\11:2444\ i\\$ `/a 561‘) EXPIRATION DATE ( 1/9 s_. FEDERAL I.D. NUMBER q I - i 1 1 85 SITE 911#/RES OADNAME 2 I 1 OTTO S—rREET ZIP CODE LEGAL DESCRIPTION:;- ,; SUBDIVISION NAME )� C[ ^IC„ S. (. LOT 'p BLOCK DIVISION TAX NUMBER - 9 DIGIT PARCEL NUMBER at) ( caa ©c2, 1 SECTION wJ TOWNSHIP S NORTH RANGE yl WM DESCRIPTION OF IMPROVEMENT: t}{iav 54, ‘56) fAitlitq CJ�IO,,, /,., SIGNATURE1.LI\ 6Jk-k�---' DATE************************ *******************************war**************** ************************ 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 " e) PLAN CHECK RECEIPT # 7 3 770 L(..-\--.10 STATE SURCHARGE TOTAL 141 , CASH/CHECK # S , h:\HOME\PLNCNTR\FORMS\INSTALL.APP