HomeMy WebLinkAboutBLD2000-00051 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 #: BLD00-00051 Received Date 1/19/2000
SITE ADDRESS: 171 MARTINGALE PL Issue Date 1/20/2000
PORT LUDLOW, 98365 Expiration Date 1/20/2001
APPLICANT: HERMAN WAGNER-JAUREGG PHONE: (360)437-9726
BARBARA WAGNER-JAUREGG
171 MARTINGALE PL
PORT LUDLOW WA 98365 53
SUBDIVISION: BAY VIEW VILL DIV3 Block: Lot:
PARCEL NUMBER: 931900053 Section: 16 Township: 28N Range: 01 E
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, STOVE & PIPE 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:
] FinalApproval: t R 2 at) C71'
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 #: BLD00-00051 Received Date: 1/19/2000
SITE ADDRESS: 171 MARTINGALE PL
PORT LUDLOW, 98365
APPLICANT: HERMAN WAGNER-JAUREGG PHONE: (360)437-9726
BARBARA WAGNER-JAUREGG
171 MARTINGALE PL
PORT LUDLOW WA 98365
SUBDIVISION: BAY VIEW VILL DIV3 Block: Lot: 53
PARCEL NUMBER: 931900053 Section: 16 Township: 28 N Range: 01 E
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, STOVE & PIPE 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
` JEFEI3SON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE X'PROPANE TANK PELLET STOVE OTHER SZ
SITE ADDRESS: I rj I i/}t j/ P(,
911#/ROAD NAME r11 j' � l�
P i . lv, L03 LIJ 0 ZIP 9 d3 7c
9 DIGIT PARCEL ID NUMBER O 3 1 9 00 QE)
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
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APPLICANTiNie7fk-yte-i-...) ôhôa- (i'� r PHONE 3 �7d C
MAILING ADDRESS C
ZIP
PROPERTY OWNER a%"" PHONE /7
MAILING ADDRESS
ZIP
CONTRACTOR Sm.vi S H I h Q_ P 20 P Ate_ PHONE 3 8,5-' ,57g
MAILING ADDRESS (0 g 5 3 R.N-0 10 y 0 2 .
PorTLoc1c (,)-c, . ZIP 5d' 339
STATE LICENSE # SLAVI.5 H-P( 077QP EXP. DATE I I / DO
FEDERAL I.D. # 491- I C) 'It 7 8 S7
•
APPLICANT SIGNATURE aGl i-c..._ ,Ocfi, 01, / ( DATE / / / ‘'/ / Cr6
FOR OFFICE USE ONLY
BASE FEE 14i/0 • alk B,CEIPT # f2j`I"Co.'
i...E C E O V l5 4SH/CK # 1 ,., , '.
D
TOTAL �p .� ATE 1, /141 / C.)
R
JAN 19 2000
H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98 JEFFERSON COUNTY
DEPT. OF COMMUNITY DEVELOPMENT
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