HomeMy WebLinkAboutBLD2000-00083 •
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 #: BLD00-00083 Received Date 2/1/2000
SITE ADDRESS: 21 FOXFIELD DR Issue Date 2/3/2000
PORT TOWNSEND, 98368 Expiration Date 2/3/2001
APPLICANT: JOE NUTSFORD PHONE: (360)385-0521
21 FOXFIELD DR
PORT TOWNSEND WA 98368
1
SUBDIVISION: KALA POINT DIV 1 Block: Lot:
PARCEL NUMBER: 964700001 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 GAS HEAT 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 02/03/2001.
REQUIRED INSPECTIONS:
ank/Line/A p nc-.� �/( =��237l e)D
[ nalApproval: 2/73 400
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 #: BLD00-00083 Received Date: 2/1/2000
SITE ADDRESS: 21 FOXFIELD DR
PORT TOWNSEND, 98368
APPLICANT: JOE NUTSFORD PHONE: (360)385-0521
21 FOXFIELD DR
PORT TOWNSEND WA 98368
SUBDIVISION: KALA POINT DIV 1 Block: Lot: 1
PARCEL NUMBER: 964700001 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
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: GAS HEAT STOVE INSTALLATION
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION MAIN:
CODE EDITION: ADDT: 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 02/01/00 24115
Total: $46.00
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JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK PELLET STOVE Xf OTHER °,1./ .,,; U -4-_
SITE ADDRESS: / �� v `j' n
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911#/ROAD NAME ( /` I�-�`,,�-��- !/r`J
�0`l / o s / l,,) N ZIP
9 DIGIT PARCEL ID NUMBER ( '47/ 7o O 00 (
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT CID e CEO , (/- L-P PHONE ,?(S)S — ���
MAILING ADDRESS 0[ tf—C) lc J 6r
p� G 0 G,1 r„s-, „,0 tiJo-- ZIP
PROPERTY OWNER A 0vQ , PHONE
MAILING ADDRESS ( (
ZIP
CONTRACTOR Suvl s H I n e., P2-O P F -> -Q_ PHONE 3 8,' 57y
MAILING ADDRESS 10 2+7 S 3 RN-0 b c.J� 02 .
po,rr N-fh0 Lc cIc L4.74 ZIP 5cP33 `t
STATE LICENSE # SLA VI S t /J.& 0 7 7 Q p EXP. DATE 1 I /OCR
FEDERAL I.D. # 9i— 10 g 7 8 S 7
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APPLICANT SIGNATURE a—C,C�'--c--- ,OJh 01,- / e DATE // / /7/
161-0
FOR OFFICE USE ONLY
BASE FEE 1ECEOVE ' IPT # 24-115-
cH/CK #
TOTAL FEB — 1 2000 ,6p TE 1 / o®
JEFFERSON COUNTY
DEPT. OF COMMUNITY DEVELOPMENT
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