HomeMy WebLinkAboutBLD2000-00045 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 #: BLD00-00045 Received Date 1/19/2000
SITE ADDRESS: 221 GREENVIEW LN Issue Date 1/19/2000
PORT LUDLOW, 98365 Expiration Date 1/19/2001
APPLICANT: VINCENT PACE PHONE: (360)437-0744
MARIAN PACE
211 GRENVIEW LANE
SUBDIVISION: NEIr4VIMVLN/W365 Block: Lot: 12
PARCEL NUMBER: 955600012 Section: 16 Township: 28 N Range: 01 E
CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420
PO BOX 1031
PORT TOWNSEND WA 98368
Contractor's License PETTIOCO88CC Expires 5/1/00
OWNER,
if different:
PROJECT DESCRIPTION PROPANE TANK& FIREPLACE LOG SET 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 1/19/01.
REQUIRED INSPECTIONS:
[i}`?" Tank/Line/Applianc :
naIApproval:
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street , Port,Townsend, WA 98368
PERMIT #: BLD00-00045 Received Date: 1/19/2000
SITE ADDRESS: 221 GREENVIEW LN
PORT LUDLOW, 98365
APPLICANT: VINCENT PACE PHONE: (360)437-0744
MARIAN PACE
211 GRENVIEW LANE
PORT LUDLOW WA 98365
SUBDIVISION: GREENVIEW VILLAGE Block: Lot: 12
PARCEL NUMBER: 955600012 Section: 16 Township: 28 N Range: 01 E
CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420
PO BOX 1031
PORT TOWNSEND WA 98368
Contractor's License PETTIOCO88CC Expires 5/1/00
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: PROPANE TANK & FIREPLACE LOG SET 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
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $46.00 MAM 01/19/00 24007
Total: $46.00
I:\F_BLD_App_Bld.rpt 10/29/99
JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 13601 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE )C PROPANE TANK PELLET STOVE OTHER , 2F ,/-7(17 Lc �%-
SITE ADDRESS:
911#/ROAD NAME � // G,k'fftft1// E
L,t ) f . ZIP (7
9 DIGIT PARCEL ID NUMBER 955 to b
Legal Description:
Subdivision Name i ,Cetiv/f 1,4L b4 4-F Block Lotls) /
Section Township North, Range WM
APPLICANT �11 VV(rFA:7 (1 A al-", PHONE 3 6 0 "413 7O
MAI INr_ ADDRESS e ,V/>E 4_ //IU;�.
u LOl.v tki ZIP / - ,5-
PROPERTY OWNER Xi/WC/v-1 / I y' /mL r-f r r1_, ' PHONE 3 O '`73J / rC�
MAILING ADDRESS % M'l!l L
`pd e 2 W,z LU L[., L L/9- ZIP 2 cP"3 S
CONTRACTOR / T7 T O/ _ ( `' PHONE :566 c3q S / 6
MAILING ADDRESS
eT. ) O it ILL IUD 1 L J ZIP / 0 3 e-
STATE LICENSE# 401 9`/V- 41-61: EXP. DATE /// O
FEDERAL I.D. # q/-075
-
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 right of entry)to the applicant's property or structure shall be requested and shall occur during regular business hours.
APPLICANT SIGNATURE c` = > DATE / / / 0 0
FOR OFFICE USE ONLY"
-BASE FEE .�: "RECEIPT#
TOTAL DATE ^l , ;" /
H:1H 0M E\PLNCNTR\FORMS\IN STALL.DOC 10/99