HomeMy WebLinkAboutBLD2000-00299 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 #: BLD00-00299 Received Date 5/15/2000
SITE ADDRESS: 131 FIR CIR Issue Date 5/15/2000
PORT HADLOCK, 98339 Expiration Date 5/15/2001
APPLICANT: E.W. MC KINNEY PHONE:
131 FIR CIRCLE
PORT HADLOCK WA 98339
32
SUBDIVISION: BISHOP ACRES Block: Lot:
PARCEL NUMBER: 932300032 Section: 02 Township: 29N Range: 01W
CONTRACTOR: CENEX SUPPLY& MARKETING PHONE: (360)732-4585
PO BOX 518
AUBURN WA 98071-0518
Contractor's License CENEXHS022NQ Expires 06/01/2000
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 05/15/2001.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance: _" %c..3 1&'Cofrxt- !K „1�C
[�] FinalApproval: _% ei/c" (e7/iti
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 #: BLD00-00299 Received Date: 5/15/2000
SITE ADDRESS: 131 FIR CIR
PORT HADLOCK, 98339
APPLICANT: E.W. MC KINNEY PHONE:
131 FIR CIRCLE
PORT HADLOCK WA 98339
SUBDIVISION: BISHOP ACRES Block: Lot: 32
PARCEL NUMBER: 932300032 Section: 02 Township: 29 N Range: 01 W
CONTRACTOR: CENEX SUPPLY& MARKETING PHONE: (360)732-4585
PO BOX 518
AUBURN WA 98071-0518
Contractor's License CENEXHS022NQ Expires 06/01/2000
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: PRO
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
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
F&W Landslide
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
I'r xlmlty - Plat Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 LMB 05/15/00 31501
Total: $48.00
I:\F_BLD_App_Bld.rpt 10/29/99
JEFFERShN COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE /NPROPANE TANK PELLET STOVE OTHER
SITE ADDRESS: / � )
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9 DIGIT PARCEL ID NUMBER • el 3- :3f:ft 0 "Z
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT ,' At. 72-) _,, ,'/V/l7'e._. PHONE - 7 C/ '.9c
MAILING ADDRESS l-1 1�A) r o2.) '%i2cf e
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PROPERTY OWNER r/Y e_ PHONE
MAILING ADDRESS
ZIP
CONTRACTOR _( %JQ X / / D �,�c,�7pC PHONE �6(� 7 2-'/-/�
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FEDERAL I.D. # l//- c 1oci,S—
i3y 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 application review 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 c :r DATE 3 / f / C70
ri g,�4,, "8, FOR OFFICE USE ONLY ��
BASE FEE �� z� " RECEIPT#
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H:\H O M E\PLN CNT R\FORMS\I N STAL L.D O C 10/99