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HomeMy WebLinkAboutBLD1996-00595 JLFFERSON 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 # •BLD96-0595 DATE ISSUED. : 09/26/96 SITE ADDRESS: 400 ARCADIA WEST :PORT TOWNSEND, WA 98368 APPLICANT. . . :CHARLES KELLER PHONE: MAILING ADDR:400 ARCADIA RD :PORT TOWNSEND WA 98368 PROPERTY OWNER: yyEE PHONE: MAILING ADDR. . : CONTRACTOR. . :SUBURBAN PROPANE PHONE: MAILING ADDR:P 0 BOX 989 :PORT TOWNSEND WA 98368 CONTR. LIC #:SUBURPDO88PA EXPIRATION DATE: 10/01/96 PARCEL NO. . . : 001171016 LEGAL DESC. . : STR 17-30-01 WWM, TAX # LOT , BLOCK , DESCRIPTION OF IMPROVEMENT: PROPANE TANK INSTALLATION THERE IS ONE REQUIRED INSPECTION. PLEASE CONTACT THE PERMIT CENTER AFTER INSTALLATION/REMOVAL IN ORDER TO SCHEDULE YOUR INSPECTION. ( ) Final Approval: 1 „ / � ole c /23/ ? 12)lzr , ' 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 JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD96-0595 DATE RECEIVED. : 09/26/96 SITE ADDRESS:400 ARCADIA WEST :PORT TOWNSEND, WA 98368 APPLICANT. . . :CHARLES KELLER PHONE: MAILING ADDR:400 ARCADIA RD • :PORT TOWNSEND WA 98368 CONTRACTOR. . :SUBURBAN PROPANE PHONE: 360-273-7677 MAILING ADDR:P 0 BOX 989 :PORT TOWNSEND WA 98368 CONTR. LIC #:SUBURPDO88PA EXPIRATION DATE: 10/01/96 ARCHITECT/ . . : PHONE: DESIGNER MAILING ADDR: PARCEL NO. . . : 001171016 ALT: CON : LEGAL DESC. . :STR 17-30-01 WWM, TAX # BY : DATE: LOT , BLOCK , WATER: 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. . : OTHER • 0 sf TYPE OF CONST WATER SUPPLY. : CRPT/GAR. . : 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 PROD GRP. . : 8488 SH SETBACK: 0 ft Owner/agent FEES Signature: type amount by date recpt PRMT $ 40. 00 AK 09/26/96 1128706 Date: B.C. $ 4 . 50 AK 09/26/96 1128706 Issued By: Date: $ 44 . 50 TOTAL JEFFERSON COUNTY PERMIT CENTER. 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 360-379-4450 y INSTALLAT ON P RMIT APPLICATION hr.* ' t WOODSTOVE X PROPANE TANK PELLET STOVE OTHER SITE ADDRESS: 911#/ROAD NAME /`/' _. / L 9 7j'� /2 ) 9 DIGIT PARCEL ID NUMBER ( j Qc t 1 7) o f T � � l7� t3o,�1 � APPLICANT C',r7 2 .c s' 7 - j G(-G=7L PHONE 0)3,S 7'2 MAILING ADDRESS (IrD ,92 C._,9-b /. J /2 0 ;12012-1— 7`ePcv A/s-i ,-,-9 / i.e,4_ ZIP PROPERTY OWNER Ci,442 L- (_.. /( 7 cc f_,,.2,_ PHONEv6 c7 ,7 gip'3 MAILING ADDRESS l,Ler:,O .„..52-/2_6-. 7..i2 14 PO Al2..r'7cc€),) S-cfr.,--), (/f' ZIP ''..569 CONTRACTOR . 2 G t j L /34 t R-O p..94. PHONE MAILING ADDRESS [�77.1- /2 0 ZIP ?‘ g' STATE LICENSE# EXP. DATE FEDERAL I.D. # APPLICANT SIGNATURE �i/ -/i.n / �,�� DATE : : : : : FR : : .: .::;:..:::::::: .::. :..:::.... :::........... ............:.: .::.................. I E..kiSE.ONLY:.....:.:....:::..:::::::.......::...:: ::::.....::....:::.:::::::........ . ::....:..:::.:: >$ASE::.'x?:y:> ` <.. ...,::.:>':''`:>:<zs>z'..... <.:s''`>`<>'` : >' >`:z>>::'>:<>`" .. '' ' '`'' > 's>'<< > : ; ':::::: ......::>:`:::<..... ::' <> FEE EC EI :;; i7TR'►T•.: `:Si -<:+::::: iii :ii ?:' s:< ` s' <•2 `: ' : : 2< ''?: ? > < ' :>'• f 2 < '< >? ''> > '.<:i�a i"....:.... ` : " ? '<s r .:::. .::.:. • ESU r RCH ARGE ATE.:.........::::::::::::... .... 1. H:\HOME\PLNCNTR\FORMS\INSTALL.DOC