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HomeMy WebLinkAboutBLD2000-00116 I 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 #: BLD00-00116 Received Date 2/22/2000 SITE ADDRESS: 319 FREDERICKS ST Issue Date 2/22/2000 PORT TOWNSEND, 98368 Expiration Date 2/22/2001 APPLICANT: JULIAN ARTHUR PHONE: (360)385-2410 1637 WASHINGTON ST PORT TOWNSEND WA 98368 1-4 SUBDIVISION: COVE ADDITION Block: 2 Lot: PARCEL NUMBER: 945900201 Section: 16 Township: 30N Range: 01W CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420 PO BOX 1031 PORT TOWNSEND WA 98368 Contractor's License PETTIOCO88CC Expires 05/01/2000 OWNER, if different: PROJECT DESCRIPTION PROPANE TANK 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 02/22/2001. REQUIRED INSPECTIONS: [ ] Tank/Line/Appliance: [ FinalApproval: 6-- c3 li ®© 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 , T BUILDING PERMIT APPLICATION Jefferson County Department'of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00116 Received Date: 2/22/2000 SITE ADDRESS: 319 FREDERICKS ST PORT TOWNSEND, 98368 APPLICANT: JULIAN ARTHUR PHONE: (360)385-2410 1637 WASHINGTON ST PORT TOWNSEND WA 98368 SUBDIVISION: COVE ADDITION Block: 2 Lot: 1-4 PARCEL NUMBER: 945900201 Section: 16 Township: 30 N Range: 01 W CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420 PO BOX 1031 PORT TOWNSEND WA 98368 Contractor's License PETTIOCO88CC Expires 05/01/2000 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: PROPANE TANK INSTALLATION TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 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 Cfe) ( 3 2.27.00 Z5-213 Total: I:\F_BLD_App_Bld.rpt 10/29/99 r JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450 INSTALLATION PERMIT APPLICATION WOODSTOVE X PROPANE TANK PELLET STOVE OTHER SITE ADDRESS: 911#/ROAD NAME 3, 7 As S 2 /SOY c ZIP 55.3d4 9 DIGIT PARCEL ID NUMBER S 47/S_. Sd o 2c „, Legal Description: Subdivision Name Block Lot(s) Section Township North, Range WM APPLICANT `/ /�//�i� /;52r/`j PHONE 3 6v 3�S e72, (/L/ MAILING ADDRESS /6 3 '7 Iy✓y S/ 7 7DrI / Otj✓, 'Se_- ZIP /c�1J23 PROPERTY OWNER Sc ,<nl/ - PHONE SG4 3 fi'" 07-"0 MAILING ADDRESS ZIP CONTRACTOR /13 '/i / / ,/ PHONE MAILING ADDRESS ZIP STATE LICENSE# EXP. DATE FEDERAL I.D. # By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments, court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and it's employees, representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. APPLICANT SIGNATURE I DATE .2 e,0 FOR OFFICE USE ONLY ^� BASE FEE ertl RECEIPT# fi Al r CASH/CK# ( s{-r t TOTAL nu DATE • 2-/22t C c) H:\HOME\PLN CNTR\FORMS\INSTALL.DOC 10/99