HomeMy WebLinkAboutBLD2000-00478 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 #: BLD00-00478 Received Date 7/20/2000
SITE ADDRESS: 934 PIPER RD Issue Date 10/31/2000
QUILCENE, 98376 Expiration Date 10/31/2001
APPLICANT: GARY PHILLIPS PHONE: (360)765-3413
MARILEE PHILLIPS
450 PENNY CREEK RD
QUILCENE WA 983768533 T 1
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 701174006 Section: 17 Township: 27N Range: 01W
CONTRACTOR: SUBURBAN PROPANE PHONE: 385-5096
P 0 BOX 989
PORT TOWNSEND WA 98368
Contractor's License SUBURPL044DA Expires 03/01/2001
OWNER, GARY PHILLIPS PHONE: (360)765-3413
if different: MARILEE PHILLIPS
450 PENNY CREEK RD
QUILCENE WA 983768533
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 10/31/2001
REQUIRED INSPECTIONS:
Tan..-Cine ' lakes ,i' ' 2
7-2
a PProva /` '/ cam"- 7
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 #: BLD00-00478 Received Date: 7/20/2000
SITE ADDRESS: 9 3 PIPER
QUILCENE, 98376
APPLICANT: GARY PHILLIPS PHONE: (360)765-3413
MARILEE PHILLIPS
450 PENNY CREEK RD
QUILCENE WA 983768533
SUBDIVISION: Block: Lot: T 1
PARCEL NUMBER: 701174006 Section: 17 Township: 27 N Range: 01 W
CONTRACTOR: PHONE:
PHONE:
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:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 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
—Proximity - Flat Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 07/20/00 33303
Total: $48.00
\F_BLD_App_Bld.rpt 10/29/99
JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
'VOODSTOVE ..< PROPANE TANK PELLET STOVE OTHER
SITE ADDRESS: 3 T �!
911#/ROAD NAME !" Iv 'f►♦J
�/ ZIP
9 DIGIT PARCEL ID NUMBER {0 f / 7� 06)6
Legal Description:
Subdivision Name Block Lot(s)
Section� Township North, Range WM///
APPLICANT ! �'r GA, V' A/C-C./AS PHONE 7 S 351/3
MAILING ADDRESS 716D ,C/Al
6 /4 ZIP 9(37
PROPERTY OWNER t6,9-/y)/. PHONE
MAILING ADDRESS
ZIP
CONTRACTOR 001)X.)�.� £r PHONE
MAILING ADDRESS (.L)C / y-i'A,Z.— -,,47—t ,
ZIP
STATE LICENSE# EXP. DATE
FEDERAL I.D. #
By 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 ri ht 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 r ht of entry to the applicant's property or structure shall be requested and shall occur during regular business hours.
\X
APPLICANT SIGNATURE DATE --7/ /
FOR OFFICE USE ONLY 2�
BASE FEE ' RECEIPT#
CASH/CK# }
TOTAL DATES �/0 0
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