HomeMy WebLinkAboutBLD2000-00290 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 #: BLD00-00290 Received Date 5/8/2000
SITE ADDRESS: 180 COMBS ST Issue Date 5/9/2000
PORT TOWNSEND, 98368 Expiration Date 5/9/2001
APPLICANT: WILLIAM T PERREAULT PHONE: (360)385-0942
180 COMBS ST
PORT TOWNSEND WA 98368
10
SUBDIVISION: OCEAN GROVE ESTATES#2 Block: 4 Lot:
PARCEL NUMBER: 977100409 Section: 24 Township: 30N Range: 02W
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, PIPE & HEAT 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 05/09/2001.
REQUIRED INSPECTIONS:
Ni Tank/Line/Appliance: (I j
[ FinalApproval: ;; �, . � ..LL - ';
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 #: BLD00-00290 Received Date: 5/8/2000
SITE ADDRESS: 180 COMBS ST
PORT TOWNSEND, 98368
APPLICANT: WILLIAM T PERREAULT PHONE: (360)385-0942
180 COMBS ST
PORT TOWNSEND WA 98368
SUBDIVISION: OCEAN GROVE ESTATES#2 Block: 4 Lot: 10
PARCEL NUMBER: 977100409 Section: 24 Township: 30 N Range: 02 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, PIPE & HEAT STOVE INSTALLATION
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION MAIN:
CODE EDITION: 1997 ADD'L: HEAT TYPE
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER:
GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: Prop: Seismic Streams
Total: Total: Flood Way Flood Plane
Routing Date: F&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
Date: —Pr ximltyV - F'lat C; dltlons
Type Amount Paid By: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 05/08/00 30842
Total: $48.00
I:\F_BLD_App_Bld.rpt 10/29/99
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JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450 A0
INSTALLATION PERMIT APPLICATION
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SITE ADDRESS:
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9 DIGIT PARCEL ID NUMBER '7 7 7 / 0 0 17z Q Q
Legal Description:
Subdivision Name Block
Lot(s)
Section Township North, Range WM
APPLICANT V r C ct,a- PHONE 5 - 9 /Z
MAILING ADDRESS .,Q.&
ZIP
PROPERTY OWNER( if ?`
PHONE
MAILING ADDRESS Lj'Z:'C
ZIP
CONTRACTOR Sltvt S N Ind Pao P, _ PHONE 38,5-- ,6797
MAILING ADDRESS 10 e 5 3 Q I+D bt 0 2
Po,r-I- Ft-etc Lc, c.Ic , La& . ZIP 5 cf 33 1
STATE LICENSE # SL.t VI S If p%O7 7 Q p EXP. DATE I I /00
FEDERAL I.D. # Gil- lc) ct 7 8 S'j
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APPLICANT SIGNATURE CC.C.G4"c,-- Arin il,- / e DATE // / / 7 / 62)
FOR OFFICE USE ONLY
BASE FEE :fiiJ
RECEIPT # 3oe- Z
CASH/CK # R-( L()
TOTAL `I 2
DATE c/ g / be
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