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HomeMy WebLinkAboutBLD2000-00210 . t 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 #: BLD00-00210 Received Date 4/3/2000 SITE ADDRESS: 6615 FLAGLER RD Issue Date 4/4/2000 NORDLAND, 98358 Expiration Date 4/4/2001 APPLICANT: FRANK W WHITE PHONE: (360)379-9081 CHANDA WHITE 6615 FLAGLER ROAD NORDLAND WA 98358 SUBDIVISION: NORDLAND Block: 19& Lot: PARCEL NUMBER: 976202001 Section: 32 Township: 30N Range: 01 E 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 FREE STANDING GAS 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 04/04/2001. REQUIRED INSPECTIONS: [ ] Tank/Line/Appliance: [ ] FinalApproval: 9(< Sfi© ony 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 #: BLD00-00210 Received Date: 4/3/2000 SITE ADDRESS: 6615 FLAGLER RD NORDLAND, 98358 APPLICANT: FRANK W WHITE PHONE: (360)379-9081 CHANDA WHITE 6615 FLAGLER ROAD NORDLAND WA 98358 SUBDIVISION: NORDLAND Block: 19& Lot: PARCEL NUMBER: 976202001 Section: 32 Township: 30 N Range: 01 E 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: FREE STANDING GAS 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 04/03/00 27123 Total: $48.00 I:\F_BLD_App_Bld.rpt 10/29/99 JEFFERSON COUNTY �IPERMIT CENTER 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450 D LS v ALLATION PERMIT APPLICATION CEE i M►O TO�I:" PROPAN K PELLET STOVE dTHER9/A-0-) rat SITE ADDRESS:JFFFERSON COUNTY L. (I -iI ,X1 911#/RQ N MMUNITY DEVELOP M T`!� ( � I ( Y' Ni 0-1^ .G v.' c-- ZIP ( 835 8 9 DIGIT PARCEL ID NUMBER q t o 0 )- Q 0 Legal Description: Subdivision Name Block Lot(s) Section Township North, Range WM APPLICANT ---a L.I,L__. k GIG C/;.JP PHONE ; 77,V0S / MAILING ADDRESS ZIP PROPERTY OWNERh()lit> PHONE MAILING ADDRESS / ZIP CONTRACTOR SL<vi 5 M Ill Q.... P P I %- Q__ PHONE 3 85- 3-79 7 MAILING ADDRESS (0 $5 3 Q I-F-0 o f 0(2, . ,-Po ,- 141*o L.o ci c LOa . ZIP I T 331 STATE LICENSE # Su vl S tE P IC 0 7 7 Q co EXP. DATE LI /OCR FEDERAL I.D. # 91- 10 q 7 g S 7 APPLICANT SIGNATURE at.Cz.r-a-- ,O0-, (4,- / ( DATE 3 / / FOR OFFICE USE ONLY BASE FEE RECEIPT # 7-4'1-2_� CASH/CK # FI )-( TOTAL DATE 11 / ) / )" H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98