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HomeMy WebLinkAboutBLD1997-00560 r i • 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 # •BLD97-0760 DATE ISSUED. : 12/08/97 SITE ADDRESS: 295434 HWY 101 :QUILCENE, WA 98376 APPLICANT. . . :LLOYD EATON PHONE: 765-4727 MAILING ADDR:PO BOX 99 :QUILCENE WA 98376 PROPERTY OWNER: PHONE: MAILING ADDR. . : • CONTRACTOR. . : SUNSHINE PROPANE PHONE: MAILING ADDR: 10853 RHODY DR :PORT HADLOCK WA 98339 CONTR. LIC #: SUNSHP*077QP EXPIRATION DATE: 11/17/98 PARCEL NO. . . : 702231013 LEGAL DESC. . : STR 23-27-02 WWM, TAX # 10 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. rr ( ) Final Approval: r-`� ,.. -�� C � ` p 1� (i° r�` J 77 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 # •BLD97-0760 DATE RECEIVED. : 11/25/97 SITE ADDRESS: 295434 HWY 101 :QUILCENE, WA 98376 APPLICANT. . . :LLOYD EATON PHONE: 765-4727 MAILING ADDR:PO BOX 99 :QUILCENE WA 98376 CONTRACTOR. . : SUNSHINE PROPANE PHONE: 385-5797 MAILING ADDR: 10853 RHODY DR :PORT HADLOCK WA 98339 CONTR. LIC #: SUNSHP*077QP EXPIRATION DATE: 11/17/97 ARCHITECT/ . . : PHONE: DESIGNER • MAILING ADDR: PARCEL NO. : 702231013 landslide _ plat cond _ wetland _ flooding _ LEGAL DESC: STR 23-27-02 W WM seismic streams erosion f & w LOT , BLOCK , TAX #10 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: COMMERCIAL: 0 sf FRAME TYPE: INDUSTRIAL: 0 sf EST COST. $ : 0 BANK HT. . . : 0 ft PROJ GRP. . : 10135 SH SETBACK: 0 ft Owner/agent FEES Signature: type amount by date recpt PRMT $ 45. 00 KN 11/25/97 1142207 Date: B.C. $ 4 . 50 KN 11/25/97 1142207 Issued By: Date: $ 49 . 50 TOTAL 1 - � EFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 360-379-4450 INSTALLATION PERMIT APPLICATION WOODSTOVE PROPANE TANK PELLET STOVE OTHER SITE ADDRESS: eQ 911#ROAD NAME 5— / �/ , /Q ( qLC( ( 06c.) ZIP 9(J7C 9 DIGIT PARCEL ID NUMBER t70, — 3 / -- C7/ �� ' 7 APPLICANT cZLU(,r& f dfiA) PHONE /6,5-"7` 7-2'7 MAILING ADDRESS ,0 (fL? —i 9 9 Q u''!.-P ]z/C` ZIP re./74 C 1L,'-? -L 1, 6... PROPERTY OWNER C�.J .��� PHONE MAILING ADDRESS ZIP CONTRACTOR L( L`) <, f--I I l`i C-_ i'_3 1,9r l't- , PHONE 3( 5 _5�7 77 MAILING ADDRESS /0 3)-3 /PA/obt/ gae/vE- PCIF hO' LCC! V''///4 , ZIP '635c; STATE LICENSE # •_j C( /•` C f-( , ) * C -7 7 ') /' EXP. DATE / / %4l7 FEDERAL I.D. # q/ /G 7 % -:;,3 '7 APPLICANT SIGNATURE _g ��.4i dl._ (76r oc'pL TE l' / c71 5/ FOR OFFICE USE.ONLY:: 'H:!:..r..i- : . :-..:.!::..l.:....-7!..1:--:-.H.....,:-2::1.::.:-:7- .-!:-. . -:.:':-.J.:::,•:%..i.,:f1. ...• ::i ..!•,:!,:;::::::m:-1. -00-..:..;::::01-:m:::,-..:!g:::...1-,:g:::::,.g:,-...:-.,:igi..;::ii.i:-.::!;:-N!.5.:::::.M:, :-.,:::ii;:li'.. BASE FEE . RECEIPT # , , : I /- 11: o 7 STATE SURCHARGE 4.50 CASH /e TOTAL DATE Fire Districts • Planning Area School District Zone H:IHOMEIPLN CNTRIF O RMSUN STA LL.FRM b Cti''