HomeMy WebLinkAboutBLD1994-00010 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 # •BLD94-0010 DATE ISSUED. : 01/06/94
SITE ADDRESS: 2481 ANDERSON LAKE RD #219
:CHIMACUM, WA 98325
APPLICANT. . . :LOUIS YEHLE PHONE:
MAILING ADDR: 2481 ANDERSON LAKE RD
:#219
:CHIMACUM WA 98325
PROPERTY OWNER: PHONE:
MAILING ADDR. . :
CONTRACTOR. . :CENEX VALLEY SUPPLY PHONE:
MAILING ADDR:PO BOX 518
:AUBURN WA 98071-0518
CONTR. LIC #:CENEXVS099PO EXPIRATION DATE: 11/21/93
PARCEL NO. . . : 901101039
LEGAL DESC. . : STR 10-19-01 WWM, TAX #
LOT , BLOCK , EVERGREEN COHO
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:
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 # •BLD94-0010 DATE RECEIVED. :01/06/94
SITE ADDRESS:2481 ANDERSON LAKE RD #219
:CHIMACUM, WA 98325
APPLICANT. . . :LOUIS YEHLE PHONE: 379-8332
MAILING ADDR:2481 ANDERSON LAKE RD
:#219
:CHIMACUM WA 98325
PROPERTY OWNER: Chk0 PHONE:
MAILING ADDR. . :
CONTRACTOR. . :CENEX VALLEY SUPPLY PHONE:
MAILING ADDR:PO BOX 518
:AUBURN WA 98071-0518
CONTR. LIC #:CENEXVS099PO EXPIRATION DATE: 11/21/93
PARCEL NO. . . :901101039 SEPTIC: DATE:
LEGAL DESC. . :STR 10-19-01 WWM, TAX # WATER : DATE:
LOT , BLOCK , EVERGREEN COHO 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 L 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. . : 5153 SH SETBACK:0 ft
Owner/agent FEES
Signature: type amount by date recpt
PRMT $ 25. 00 AK 01/06/94 87612
Date: B.C. $ 4 . 50 AK 01/06/94 87612
Issued By:
Date: I /94
$ 29. 50 TOTAL
'JEFFERSON COUNTY INSTALLATION PERMIT APPLICATION
APPLICANT ) "f8 4.,t9k i 5 c2.-1-f /s° PHONE ,5 7 9- el.;3<4
MAILINg ADDRESS q[��7yys j �f/GtE�V<5 0/) LA* ,,U,I " /�J'
-- LA1YY !!C'( Gi Y1,1 LP) a ZIP 9kr3aS'
PROPERTY OWNER NAME G :1 14%'Y'9yeta. J ( j n epSD PHONE
MAILING ADDRESS Snyyl e b D U €.
ZIP
CONTRACTOR
MAILING ADDRESS PHONE
1
S
STATE LICENSE NUMBER EXPIRATION DATE
FEDERAL I.D. NUMBER
SITE ADDRESS: 24g (l�. hi-,911*/ROAD MAZE ZIP CODE
LEGAL DESCRIPTION:
SUBDIVISION NAME LOT ' /BLOCK DIVISION
TAX NUMBER 9 DIGIT PARCEL NUMBER qi0//0/74
SECTION TOWNSHIP NORTH RANGE WM
DESCRIPTION OF IMPROVEMENT: )M
q6Aiik)
SIGNATURE DATE f l(6
(6) 4
FOR OFFICE USE ONLY
Planning Area Fire District School District
BUILDING TYPE IMPROVEMENT TYPE UBC OCCUPANCY
❑ NON 0 WOO ❑ NEW GROUP
FRAME TYPE
0 WOOD 0 MANUFACTURED 0 STEEL 0 MASONRY OTHER
BASE FEE PLAN CHECK RECEIPT # y76/2._
STATE SURCHARGE
5v
TOTAL 29 CASH/CHECK #�
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