HomeMy WebLinkAboutBLD2000-00050 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 #: BLD00-00050 Received Date 1/19/2000
SITE ADDRESS: 404 WINDSHIP DR Issue Date 1/20/2000
PORT TOWNSEND, 98368 Expiration Date 1/20/2001
APPLICANT: MICK QUIGLEY PHONE: (360)379-4811
404 WINDSHIP DR
PORT TOWNSEND WA 98368
146
SUBDIVISION: KALA POINT DIV 2 Block: Lot:
PARCEL NUMBER: 964700070 Section: 27 Township: 30N 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, PIPE AND GAS 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: ,")/<1 k.._ /—/ 7 —e)
[ ] 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
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00050 Received Date: 1/19/2000
SITE ADDRESS: 404 WINDSHIP DR
PORT TOWNSEND, 98368
APPLICANT: MICK QUIGLEY PHONE: (360)379-4811
404 WINDSHIP DR
PORT TOWNSEND WA 98368
SUBDIVISION: KALA POINT DIV 2 Block: Lot: 146
PARCEL NUMBER: 964700070 Section: 27 Township: 30 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
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: PROPANE TANK, PIPE AND GAS 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: $46.00
I:\F_BLD_App_Bld.rpt 10/29/99
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 1360) 379-4450
INSTALLATION PERMIT APPLICATION
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9 DIGIT PARCEL ID NUMBER q `F' f
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Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT I r ( (Oz. 17 o/ �(4(` Ic,, PHONE 3 ( / Pfi
MAILING ADDRESS
ZIP
PROPERTY OWNER j$�2 __c - 4 PHONE I
MAILING ADDRESS
ZIP
CONTRACTOR Sur S N Ir Pa-0 P IQ#'.Q_ PHONE 3 8S - 57g
MAILING ADDRESS (D g S 3 R N-D Ip y 0 Q
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STATE LICENSE # SLl VI S H-Ai( 0 7 7 Q p EXP. DATE 1 I r DC1
FEDERAL I.D. # `9 l- I D g 7 b S 7
APPLICANT SIGNATURE ,Oc0, 41," / e DATE / / /7 / �J?�
u_ FOR OFFICE USE ONLY
BASE FEE "T R ECEIPT # 4QO5
DV ASH/CK #
TOTAL JAN 1 9 2000 OATE / Iq / 00
JEFFERSON CUUNIY
H:\HOME\PLNcNTR\FORMS\INsTALL.00c4/98 DEPT.OF COMMUNITY DEVELOPMENT