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HomeMy WebLinkAboutBLD2000-00193 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 #: BLD00-00193 Received Date 3/27/2000 SITE ADDRESS: 31 E MAUDE ST Issue Date 3/28/2000 PORT HADLOCK, 98339 Expiration Date 3/28/2001 APPLICANT: BOB ROZELLE PHONE: (360)379-3327 31 E MAUDE ST PORT HADLOCK WA 98339 18-20 SUBDIVISION: IRONDALE Block: 9 Lot: PARCEL NUMBER: 961800921 Section: 34 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, BOB ROZELLE PHONE: (360)379-3327 if different: 31 E MAUDE ST PORT HADLOCK WA 98339 PROJECT DESCRIPTION PROPANE TANK, GAS PIPE & 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 03/28/2001. REQUIRED INSPECTIONS: an Line ppliance 4- -v--f)c:.) _.,%/ i, (c ;QA) [L] FinalApproval: (9 -41,40- 6 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 #: BLD00-00193 Received Date: 3/27/2000 SITE ADDRESS: 31 E MAUDE ST PORT HADLOCK, 98339 APPLICANT: BOB ROZELLE PHONE: (360)379-3327 31 E MAUDE ST PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE Block: 9 Lot: 18-20 PARCEL NUMBER: 961800921 Section: 34 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 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: PROPANE TANK, GAS PIPE & STOVE 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 Routing Date: Shoreline Aquifer Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $48.00 MAM 03/27/00 27088 Total: $48.00 I:\F_BLD_App_Bld.rpt 10/29/99 JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450 INSTALLATION PERMIT APPLICATION WOODSTOVE PROPANE TANK PELLET STOVE OTHER c SITE ADDRESS: 3 ( 0 74 G� 911#/ROAD NAME �Q LL nn.nn __ / / /gyp l T - i " c-/� G✓k ZIP % 0Y 9 DIGIT PARCEL ID NUMBER 9 ( / - coo o - 9 / Legal Description: Subdivision Name Block Lot(s) Section Township North, Range WM APPLICANT , 6 © ,10 R o2 /( �_ PHONE / q 3 3.2 7 MAILING ADDRESS 2_ ZIP PROPERTY OWNER PHONE MAILING ADDRESS , G,.ti__,L_ ZIP CONTRACTOR SU.v1 S -t I h Q P 20 9 Axe.. PHONE 3 8S'- 57/7 MAILING ADDRESS (0 g s 3 R.1-k be 0 2 . PorT- f•69.0 L G c t C r (.?c. . ZIP 5 f 33`t STATE LICENSE # St..tV1.S if Plc o77QP EXP. DATE I I r DC FEDERAL I.D. # 91- t o ci 7 8 5 7 APPLICANT SIGNATURE CC-GG+-c-- ,0o-, / ( DATE . / c) 3 / C'L litutONLYILL .- BASE FEE I (.n D A RECEIPT # 2. jE L �/�SH/CK # �" I1S - TOTALa. ,—,J DATE 3 i 2.fi CO JEFFERSON COUNTY DEPT. OF COMMUNITY DEVELOPMENT H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98