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HomeMy WebLinkAboutBLD1996-00577 JEFFERSON COUNTY WOODSTOVE/ PROPANE TANK INSTALLATION/REMOVAL PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD96-0577 SITE ADDRESS: 166 SCHWARTZ RD DATE ISSUED. : 09/20/96 :NORDLAND, WA 98358 APPLICANT. . . :ELMER LINDBLOM MAILING ADDR:P 0 BOX 71 PHONE: • :NORDLAND WA 98358 PROPERTY OWNER: MAILING ADDR. . : PHONE: • CONTRACTOR. . :PACIFIC PROPANE INC MAILING ADDR: 233 30TH ST PHONE: :P 0 BOX 1957 :PORT TOWNSEND WA 98368 CONTR. LIC #:PACIFPI066JN EXPIRATION DATE: 04/07/97 PARCEL NO. . . : 021283020 LEGAL DESC. . : STR 28-30-01 EWM, TAX # LOT , BLOCK , DESCRIPTION OF IMPROVEMENT: propane tank installation C jTv J� THERE IS ONE REQUIRED INSPECTION. PLEASE CONTACT THE PERMIT CENTER AFTER INSTALLATION/REMOVAL IN ORDER TO SCHEDULE YOUR INSPECTION. ( " Final Approval: -Q /0 __2 C CALL 379-4455 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9 a.m. to 4 : 30 p.m. Inspector's Phone Hours 8 - 9 a.m. 24 Hour Recorder for Inspections AIM JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD96-0577 SITE ADDRESS: 166 SCHWARTZ RD DATE RECEIVED. : 09/19/96 :NORDLAND, WA 98358 APPLICANT. . . :ELMER LINDBLOM MAILING ADDR:P 0 BOX 71 PHONE: :NORDLAND WA 98358 CONTRACTOR. . :PACIFIC PROPANE INC MAILING ADDR:233 30TH ST PHONE: 385-6998 :P 0 BOX 1957 :PORT TOWNSEND WA 98368 CONTR. LIC #:PACIFPI066JN EXPIRATION DATE: 04/07/97 ARCHITECT/ . . : DESIGNER PHONE: MAILING ADDR: PARCEL NO. . . : 021283020 LEGAL DESC. . :STR 28-30-01 EWM, TAX # ALT: CON : LOT , BLOCK , BY : DATE: WATER: DATE: DESCRIPTION OF IMPROVEMENT: propane tank installation BUILDING TYPE *NON BEDROOMS--- TYPE OF IMPROVEMENT:NEW BATHROOMS-- MAIN FL. . . : 0 sf TYPE OF P EXIST. : 0 EXIST. : 0 ADD'L FL. . : GARAGE/CARPORT WOODSTOVE • PROP. . : 0 PROP. . : 0 0 sf TOTAL. : 0 UNHTHTED BSMT. : 0 sf UBC OCCUPANCY GROUP: TOTAL. : 0 OTHERHE BSMT. : 0 sf TYPE OF CONST SEWAGE DISP. . : UNITS. :YPE0 STORIES: 0 WATER SUPPLY. : CR0 sf HEAT TYPES. : DECKSGAR. . . 0 sf DIMENSIONS: DECKS 0 sf MOBILE HOME COMMERCIAL: FRAME TYPE: 0 sf EST COST. $: 0 MAKE: YR: SIZE: INDUSTRIAL: 0 sf PROD GRP. . : 8461 BANK HT. . . : 0 ft SH SETBACK: 0 ft Owner/agent Signature: FEES type amount by date recpt Date: PRMT $ 40. 00 AK 09/19/96 1125793 B. C. $ 4. 50 AK 09/19/96 1125793 Issued By: Date: $ 44 . 50 TOTAL trrtHSON OUNTY PERMIT CENTER 621 SHERIDAN ST PORT TOWNSEND WA 98368 PHt 36 - 79-445 INSTALLATION PERMIT APPLICATIO N WOODSTOVE PROPANE TANK • PELLET STOVE OTHER SITE ADDRESS: 911#/ROAD NAME ZIP 9 DIGIT PARCEL ID NUMBER O 2 _ d 2--c APPLICANT E MAILING ADDRESS 0 PHONE .mot 7 d 1 ctyk 6 zip d s PROPERTY OWNER Cy-n- 2_ cmcc.bc rr Q1 • MAILING ADDRESS PHONE ZIP CONTRACTOR C \F C— MAILING ADDRESS � p ak 5 STATE LICENSE # FEDERAL I.D. # _ ` 5-7 _ 3 EXP. DATE -C(. 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