Loading...
HomeMy WebLinkAboutBLD2000-00049 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 #: BLD00-00049 Received Date 1/19/2000 SITE ADDRESS: 150 PALMER DR Issue Date 1/20/2000 PORT TOWNSEND, 98368 Expiration Date 1/20/2001 APPLICANT: STEVE KOSSIAN PHONE: (360)385-1999 150 N PALMER PORT TOWNSEND WA 98368 21 SUBDIVISION: CAPE GEORGE COL3 Block: 8 Lot: PARCEL NUMBER: 938400820 Section: 12 Township: 30N Range: 02W 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, GAS PIPE & STOVE 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/Line/Appliance: Q .\ [ ] FinalApproval: `� ZC '`, 1‘" 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 #: BLD00-00049 Received Date: 1/19/2000 SITE ADDRESS: 150 PALMER DR PORT TOWNSEND, 98368 APPLICANT: STEVE KOSSIAN PHONE: (360)385-1999 150 N PALMER PORT TOWNSEND WA 98368 SUBDIVISION: CAPE GEORGE COL3 Block: 8 Lot: 21 PARCEL NUMBER: 938400820 Section: 12 Township: 30 N Range: 02 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, GAS PIPE & STOVE INSTALLATION TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION ADD'L: HEAT TYPE CODE EDITION: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: 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 WOODSTOVE PROPANE TANK PELLET STOVE \ OTHER 1 C SITE ADDRESS: l 911#/ROAD NAME I5 - / J pilty„,_ ZIP ( J �� 9 DIGIT PARCEL ID NUMBER (1 3`g boo g)-O Legal Description: Subdivision Name Block Lot(s) Section Township North, Range WM APPLICANT <t a-4-t AO 5 S/a.,k- PHONE 3 6:96-7 / / MAILING ADDRESS ZIP PROPERTY OWNER 14'I iC PHONE MAILING ADDRESS ZIP CONTRACTOR St&vl S H in Q P20 P PHONE 3 8,5-- 3717 MAILING ADDRESS 10 2?S 3 1Z1+11) f0 y 0 2 . Po.r-r Ft-14,o L c ca c . ZIP 5 cf 33 STATE LICENSE # , StA vI S t+A414- 0 7 7 Q P EXP. DATE 11 /©C� FEDERAL I.D. # 91- 10 K i &S 7 APPLICANT SIGNATURE ,On-% a►. / ( DATE / / ! 7/ FOR OFFICE USE ONLY BASE FEE 2 RECEIPT # 66s6 / 3ECEIVEDSH/CK # -467 2 TOTAL �tp '� 41E 1 / (q / D0 JAN 1 9 2000 H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98 JEFFERSON COUNTY DEPT. OF COMMUNITY DEVELOPMENT ao- 119