HomeMy WebLinkAboutBLD2000-00047 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 #: BLD00-00047 Received Date 1/19/2000
SITE ADDRESS: 1253 DEER CREEK RD Issue Date 1/20/2000
QUILCENE, 98376 Expiration Date 1/20/2001
APPLICANT: SEIICHI ADACHI PHONE: (206)824-3734
19223 34TH AVE SO
SEATTLE WA 98188
1
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 601032020 Section: 03 Township: 26N Range: 01W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2000
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 01/20/2001.
REQUIRED INSPECTIONS:
[ ] Tank/ ''ne/Appliance:
[ ] Final proval: j �i'- t' � /� :. ._�1. "4.4,._47
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
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00047 Received Date: 1/19/2000
SITE ADDRESS: 1253 DEER CREEK RD
QUILCENE, 98376
APPLICANT: SEIICHI ADACHI PHONE: (206)824-3734
19223 34TH AVE SO
SEATTLE WA 98188
SUBDIVISION: Block: Lot: 1
PARCEL NUMBER: 601032020 Section: 03 Township: 26 N Range: 01 W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2000
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:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
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 MAM 01/19/00 24008
Total: $46.00
I:\F_BLD_App_Bld.rpt 10/29/99
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
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9 DIGIT PARCEL ID NUMBER (6o ( 03 j- OD 0
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT 3 `e l C ( a ,Qc=- r PHONE G -p.+Zy- 373
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APPLICANT SIGNATURE CC-C.l r'c•-- An-, w- / ( DATE / / /V/ GZ
jj FOR OFFICE USE ONLY
BASE FEE (p• II
CEIPT # 2�®0
RECIEDWE 0SH/CK # o�)..._
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JEFFERSON COUNTY
H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98
DEPT. OF COMMUNITY DEVELOPMENT
Feb 23 00 03: 02p Corvallis Service Center 102 P- 2
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 #: BLD00-00047 Received Date 1/19/2000
SITE ADDRESS: 1253 DEER CREEK RD Issue Date 1/20/2000
QUILCENE, 98376 Expiration Date 1/20/2001
APPLICANT: SEIICHI ADACHI PHONE: (206)824-3734
19223 34TH AVE SO
SEATTLE WA 98188
1
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 601032020 Section: 03 Township: 26N Range: 01W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractors License SUNSHP*077QP Expires 11/17/2000
WittiLk
-t- 1 CA yl.z ,� fey,--
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 01/2012001.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance:
[ ] FinalApproval:
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