HomeMy WebLinkAboutBLD2000-00097 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 #: BLD00-00097 Received Date 2/9/2000
SITE ADDRESS: 90 JAKEWAY RD Issue Date 2/9/2000
QUILCENE, 98376 Expiration Date 2/9/2001
APPLICANT: TRAVIS HITT PHONE:
BONNIE HITT
90 JAKEWAY RD
QUILCENE WA 98376
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 701184027 Section: 18 Township: 27N 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, GAS PIPE & FIREPLACE 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 02/09/2001.
REQUIRED INSPECTIONS:
ank/Line/
FinalApprov_al=`ejV = . ('CG
BUILDING INSPECTION HOT-LINE 3794455. 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 #: BLD00-00097 Received Date: 2/9/2000
SITE ADDRESS: 90 JAKEWAY RD
QUILCENE, 98376
APPLICANT: TRAVIS HITT PHONE:
BONNIE HITT
90 JAKEWAY RD
QUILCENE WA 98376
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 701184027 Section: 18 Township: 27 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, GAS PIPE & FIREPLACE 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
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 02/09/00 24127
Total: $48.00
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JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 1e-1:D6E319W5E
INSTALLATION PERMIT APPLICATION
FEB -7 2000 J
WOODSTOVE X: PROPANE TANK PELLET STOVE 4_, OTHER �(f/)� N i,£ Q 99( x
SITE ADDRESS: - C fEOMMU COMMUNITY DEVELOPMENT
911#/ROAD NAME C1. U ,) k_
a_ .c=-ma c.. , DEPT.OFCMMUN
L c( L_Cc_ `-� , ZIP 62i /to
9 DIGIT PARCEL ID NUMBER ( ° ( t g q Oc -.7
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
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APPLICANT i !� �'�j,/{,S � 60111l E 4c-rt PHONE
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MAILING ADDRESS L1 'O Cc. :v c,...1 ( .
Qu-tQ cs _ ! tics ZIP 9. ( 3 76
(I e4ri _. D e PHONE " / to S����5
PROPERTY OWNER
MAILING ADDRESS
ZIP
CONTRACTOR Sllvl S N I V1 Q., PQ P _ PHONE 3 8.5-' 371 7
MAILING ADDRESS I0 'S 3 (2H-a o 02 .
Po,rT- 14Locic t,?a . e
ZIP 5d' 33`l
STATE LICENSE # StA i S If A' 0 7 7 Q co EXP. DATE I I /DC)
—
FEDERAL I.D. # 9 l- 10 q 7 8 S7
APPLICANT SIGNATURE �64,-c._ An, ' al, / ( DATE d— / 7 /
FOR OFFICE USE ONLY
BASE FEE RECEIPT # v o8o
CASH/CK # -111 1 2.1
TOTAL DATE 2/ 9 / On
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