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HomeMy WebLinkAboutBLD2000-00007 PROPANE/PELLET/WOOD STOVE & TANK INSTALLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360) 379-4450 FAX (360) 379-4451 (800)831-2678 PERMIT #: BLD00-00007 Received Date 1/5/2000 SITE ADDRESS: 1342 THORNDYKE RD Issue Date 1/5/2000 PORT LUDLOW, 98365 Expiration Date 1/5/2001 APPLICANT: CHRIS BATES PHONE: (360)928-0149 PO BOX 161 JOYCE WA 98343 SUBDIVISION: TRAILS END HOMESITES Block: 4 Lot: 7&8 PARCEL NUMBER: 950100406 Section: 16 Township: 27 N Range: 01 E CONTRACTOR: JEFF SMITH ENT PHONE: (360)928-0149 PO BOX 161 JOYCE WA 98343-0161 Contractor's License JEFFSE*027ML Expires 12/03/2000 OWNER, if different: PROJECT DESCRIPTION PROPANE TANK INSTALLATION THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 01/05/2001. REQUIRED INSPECTIONS: [u- Tank/LiniAppliance: €`K7— ,5- L!A/6-6 #- cN ( O/( alApproval: Y1 _ _ At•►w i '4111111rr . BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. - 4:30 p.m. Inspector's Phone Hours 8:00 a.m. - 9:00 a.m. SPECIAL CONDITIONS MAY APPLY - SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY I:\F_BLD_Permit_Propane.rpt 10/29/99 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00007 Received Date: 1/5/2000 SITE ADDRESS: 1342 THORNDYKE RD PORT LUDLOW, 98365 APPLICANT: CHRIS BATES PHONE: (360)928-0149 PO BOX 161 JOYCE WA 98343 SUBDIVISION: TRAILS END HOMESITES Block: 4 Lot: 7&8 PARCEL NUMBER: 950100406 Section: 16 Township: 27 N Range: 01 E CONTRACTOR: JEFF SMITH ENT PHONE: (360)928-0149 PO BOX 161 JOYCE WA 98343-0161 Contractor's License JEFFSE*027ML Expires 12/03/2000 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: PROPANE TANK INSTALLATION TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION MAIN: CODE EDITION: ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: Seismic Streams Prop: Prop: Flooding Landslide Total: Total: F&W Plat Conditions Shoreline Aquifer Routing Date: Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $46.00 RAC 01/05/00 23665 Total: $46.00 I:\F_BLD_App_Bld.rpt 10/29/99 JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450 INSTALLATION PERMIT APPLICATION WOODSTOVE X PROPANE TANK PELLET STOVE OTHER SITE ADDRESS: c ,..(� 911#/ROAD NAME f . - 7 0ryd • , ccf- L--L&(au) Uak 903645 ZIP 9 DIGIT PARCEL ID NUMBER 515-0 f 20 C)��-- Legal Description: Subdivision Name 6{; ). ti' ��� Block Lot(s) Section Townshiipp�' North, Range WM APPLICANT elr I r' 5 1( /C1L+t ; rk PHONE C36C.) va-Oe99 it) MAILING ADDRESS i ) Bc, (� I J © �, /�C /trl�c ZIP a3`��. PROPERTY OWNER C_ �V i S -'t- S PHONE MAILING ADDRESS ZIP CONTRACTOR �:tik 1 V� � PHONE C S FiC;)9.:7Y"'0J MAILING ADDRESS ftb Bcect'6( :roy , I 0, zip' r3` 3 STATE LICENSE# T J P S*wwt l �< EXP. DATE FEDERAL I.D. # " /S-r3 cAD— By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments, court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and it's employees, representatives or agents for the purpose of application review and any required later inspections. Access and rig of entry to the applicant's property or struct re shall be requested and shall occur during regular business hours. OS APPLICANT SIGNATURE r DATE FOR OFFICE USE ONLY BASE FEE L- l-. RECEIPT# Sr CASH/CK# _36 TOTAL (4- DATE .j / / H:\HOME\PLNCNTR\FORMS\INSTALL.DOC 10/99