HomeMy WebLinkAboutBLD2000-00324 •
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 #: BLD00-00324 Received Date 5/25/2000
SITE ADDRESS: 110 2ND AVE Issue Date 5/25/2000
PORT HADLOCK, 98339 Expiration Date 5/25/2001
APPLICANT: HOWARD M LEARNED PHONE: 1-800-356-1987
SUZANNE LEARNED
7850 E EVANS RD STE 109
SCOTTSDALE AZ 852602934 33-37
SUBDIVISION: IRONDALE Block: 46 Lot:
PARCEL NUMBER: 961804603 Section: 35 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, HOWARD M LEARNED PHONE: 1-800-356-1987
if different: SUZANNE LEARNED
7850 E EVANS RD STE 109
SCOTTSDALE AZ 852602934
PROJECT DESCRIPTION PROPANE TANK, GAS PIPE& GAS 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 05/25/2001.
REQUIRED INSPECTIONS:
[ft/ Tank/Li fc) L LC- °/L/�cs;C�
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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
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BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00324 Received Date: 5/25/2000
SITE ADDRESS: 110 2ND AVE
PORT HADLOCK, 98339
APPLICANT: HOWARD M LEARNED PHONE: 1-800-356-1987
SUZANNE LEARNED
7850 E EVANS RD STE 109
SCOTTSDALE AZ 852602934
SUBDIVISION: IRONDALE Block: 46 Lot: 33-37
PARCEL NUMBER: 961804603 Section: 35 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 & GAS HEAT STOVE INSTALLATION
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: 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
—Proximity Plat G dltlons
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 05/25/00 31554
Total: $48.00
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JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN,ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
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WOODSTOVE Y PROPANE TANK PELLET STOVE OTHER (
SITE ADDRESS: ) ( O h 42
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9 DIGIT PARCEL ID NUMBER f(- ( O' to 0 3
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT l�0 4-1)61-d- f� C G/2,/-z..P_Q. PHONE (9 UU 3 s (� P 7
MAILING ADDRESS ? 5b Z. 2v ' Ui
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PROPERTY OWNER a--94-112- ,t ate.,, - PHONE
MAILING ADDRESS
ZIP
CONTRACTOR SLkVl S N I h P20 p 4.vtQ PHONE 3 8c- 57q 7
MAILING ADDRESS (O $S 3 R!-+-0 Ip, 0 2
Pori-- ft Lo cac. ` Lae% • ^ ZIP 5 cf 33`l
STATE LICENSE # SCA V1 S P ( 0 7 7 Q P EXP. DATE I I /OC
FEDERAL I.D. # Gil- 1 o g 7 8 s7
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APPLICANT SIGNATURE C...644-c - ,4 ei►.- ( DATE // / /( /
FOR OFFICE USE ONLY
BASE FEE ((� (� M RECEIPT # 3 15 54-
D E C E 0 V E H/CK # -4-15 X
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TOTAL Ov
MAY252000
E 5 12.5 60
H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98 JEFFthSUN(;RUNTY
DEPT.OF COMMUNITY DEVELOPMENT