HomeMy WebLinkAboutBLD2000-00158 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 #: BLD00-00158 Received Date 3/7/2000
SITE ADDRESS: 43 NANTUCKET PL Issue Date 3/9/2000
PORT TOWNSEND, 98368 Expiration Date 3/9/2001
APPLICANT: RICHARD SCHNEIDER PHONE: (360)379-8752
ANNE SCHNEIDER
43 NANTUCKET PLACE
PORT TOWNSEND WA 98368 165
SUBDIVISION: KALA POINT#3 Block: Lot:
PARCEL NUMBER: 965000023 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 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 03/09/2001.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance:
/67:
[ ] FinalApproval:
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 PE RMIT'APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00158 Received Date: 3/7/2000
SITE ADDRESS: 43 NANTUCKET PL
PORT TOWNSEND, 98368
APPLICANT: RICHARD SCHNEIDER PHONE: (360)379-8752
ANNE SCHNEIDER
43 NANTUCKET PLACE
PORT TOWNSEND WA 98368
SUBDIVISION: KALA POINT#3 Block: Lot: 165
PARCEL NUMBER: 965000023 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: 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: 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
Shoreline Aquifer
Routing Date: Forest: Commercial Rural
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 03/07/00 25412
Total: $48.00
I:\F_BLD_App_Bld.rpt 10/29/99
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, POP IT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE _ ; PROPANE TANK PELLET STOVE OTHER
SITE ADDRESS:
911#/ROAD NAME Ply C�
ZIP
9 DIGIT PARCEL ID NUMBER q( 5 D 0 0 0)_
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
-7 C� r-
APPLICANT D/ ��"�1/hA Sck),--e-S2 - 3 /PHONE / /y
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MAILING ADDRESS
ZIP
PROPERTY OWNER L /_ / C"1— PHONE
MAILING ADDRESS
ZIP
CONTRACTOR Suvl s H I n e P 20 h AFL_ PHONE 3 8S-- 371
MAILING ADDRESS 10 2?S 3 Q1-1-0 pt 0 2 ,
Pov--r N-AYD L-o Uc. LSc. . ZIP 5 d' 33 c(
STATE LICENSE # Sl t VI S 1+P 07 7 CO3 EXP. DATE LI / DQ
FEDERAL I.D. # 91- IDg7SS7
APPLICANT SIGNATURE �GGu �- ,Orn, �/Y / ( DATE / 6 / �` Z
FOR OFFICE USE ONLY
BASE FEE
I •. i/CK # 4
TOTAL
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H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98 JEFFERSON COUNTY
DEPT. OF COMMUNITY DEVELOPMENT