HomeMy WebLinkAboutBLD2000-00448 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 #: BLD00-00448 Received Date 7/5/2000
SITE ADDRESS: 10805 RHODY DR Issue Date 7/11/2000
PORT HADLOCK, 98339 Expiration Date 7/11/2001
APPLICANT: ALFREDO B MAGLASANG PHONE: (360)379-0456
PO BOX 814
PORT HADLOCK WA 983390814
S18
SUBDIVISION: MOUNTAIN VIEW MOBILE HOME PARK Block: Lot:
PARCEL NUMBER: 973606018 Section: 03 Township: 29N 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, ALFREDO B MAGLASANG PHONE: (360)379-0456
if different: PO BOX 814
PORT HADLOCK WA 983390814
PROJECT DESCRIPTION PROPANE TANK INSTALLLATION
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 07/11/2001.
REQUIRED INSPECTIONS:
[ ] Tan Line/Appliance:
[,,] FinalApproval:
T't rme,ok oy 7-/y,0�
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 #: BLD00-00448 Received Date: 7/11/2000
SITE ADDRESS: 10805 RHODY DR
PORT HADLOCK, 98339
APPLICANT: ALFREDO B MAGLASANG PHONE: (360)379-0456
PO BOX 814
PORT HADLOCK WA 983390814
SUBDIVISION: MOUNTAIN VIEW MOBILE HOME PARK Block: Lot: S 18
PARCEL NUMBER: 973606018 Section: 03 Township: 29 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
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: PROPANE TANK INSTALLLATION
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
Seismic Streams
Prop: Prop: Flood Way Flood Plane
Total: Total: F&W Landslide
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
Proximity Plat Conditions _
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 LMB 07/11/00 32089
Total: $48.00
is\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 X PROPANE TANK PELLET STOVE OTHER
SITE ADDRESS:
911#/ROAD NAME 1005 ORt
e 6Y i 1 -cLLo(.,'LU j30-- ZIP 1 g33
9 DIGIT PARCEL ID NUMBER G t 3 coo co 0 (e
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT e 'ei9,0 € ktetG ' l 1' I11 6-LA S[`-NG-- PHONE 37 -0 14E6
MAILING ADDRESS Po Repx. 81Y
Q r `1,1 0-49- c 1c_ We-- ZIP q v.f.)7
PROPERTY OWNER n LIC 414 PHONE t e
MAILING ADDRESS t..t
ZIP
CONTRACTOR Sun s i-i I n e, P►2o P ram- PHONE 3 86-- 37/7
MAILING ADDRESS (O g S'3 R40 fp y Q Q .
Po,r-I- H-Fty3 Lo u c (.?c. • e
ZIP 51 d' 33`l
STATE LICENSE # SLAVISH-Pic 077QP EXP. DATE 1 I / DO
FEDERALI.D. # 91- Ioct78S7
APPLICANT SIGNATURE G..Gl./"A.- r
4�+ �'' C DATE � / � / 6 0
FOR OFFICE USE ONLY
BASE FEE L i(t , RECEIPT # 3 Qg
2
CASH/CK #
11c‘(0
TOTAL ��� DATE 7/� / DO
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