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HomeMy WebLinkAboutBLD2000-00153 } • 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 #: BLD00-00153 Received Date 3/6/2000 SITE ADDRESS: 271 BLUE SKY DR PORT TOWNSEND, 98368 Issue Date 3/8/2000 Expiration Date 3/8/2001 APPLICANT: SCOTT G DAVIS 2000 MINOR AVE E PHONE: (206)667-2867 #9 SEATTLE WA 98102 SUBDIVISION: DISCOVERY RIDGE DIV II 10 Block: Lot: PARCEL NUMBER: 001195010 Section: 19 Township: 30N Range: 01W CONTRACTOR: SUBURBAN PROPANE P 0 BOX 989 PHONE: 385-5096 PORT TOWNSEND WA 98368 Contractor's License SUBURPL044DA Expires 03/01/2001 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 03/08/2001. REQUIRED INSPECTIONS: [ ] Tank/Line/Appliance: Fi nalApprovai: (��� `f // y 0(l 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 AIM BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD00-00153 Received Date: 3/6/2000 SITE ADDRESS: 271 BLUE SKY DR PORT TOWNSEND, 98368 APPLICANT: SCOTT G DAVIS 2000 MINOR AVE E PHONE: (206)667-2867 #9 SEATTLE WA 98102 SUBDIVISION: DISCOVERY RIDGE DIV II Block: Lot: 10 PARCEL NUMBER: 001195010 Section: 19 Township: 30 N Range: 01 W CONTRACTOR: OWNER UgUa_g Pi oPA-f 6 PHONE: ��S �� Po Zox gcl ParL1 --a wnsE--elL, w(4-- `<c• cag ARCHITECT/ S 08.0 2 ENGINEER : PLoyy,6- 3Ji l z0o ) PROJECT DESCRIPTION: PROPANE TANK INSTALLATION TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION MAIN: CODE EDITION: ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: CONST TYPE: GARAGE: SHORELINE: DECK: SETBACK: SEWAGE DISPOSAL: BANK HEIGHT: WATER SYSTEM: STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Exist: Wetland Erosion 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: Permit p Approved/Date $48.00 MAM 03/06/00 25407 Total: $48.00 I:\F_BLD_App_Bld.rpt 10/29/99 1 EFFER N NTY OMM NITY DEVELOPMENT 621 SHERIDAN ST PORT T WNSEND g 3 I INSTALLATION PERMIT APPLICATION ter: _ 6 2000 WOODSTOVE PROPANE TANK PELLET STOVE OTHER SITE ADDRESS: 911#P.OAD NAME Z7 / ' JEFFERSON COUNTY DFPT i1F rna���i� l ir,u i '�r'IT n! c 3 ZIP 9 DIGIT PARCEL ID NUMBER ( Legal Description: Subdivision Name Dry [ 10 Dt<! Block ot(s) Section r/ Township North, Range_ WM APPLICANT PHONET-�S62 "."e!L!NG ADDRESS PROPERTY OWNER _Ss ©a..4-.e PHONE MAILING ADDRESS Sa _ 5 a‘C%1/4J-e' ZIP CONTRACTOR --- 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 appiicaiion rcvsa✓✓ 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 cc DATE / / • FOR OFFICE USE ONLY BASE FEE G RECEIPT# CASH/CK# / TOTAL w L DATE j(c7 F lt)6 H:\HOME\PLN C NTR\FORMS\I N STA LL.D O C 10/99