HomeMy WebLinkAboutBLD2000-00480Fr-
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 #: BLD00-00480 Received Date 7/20/2000
SITE ADDRESS: 311 BRIDLE WAY Issue Date 7/21/2000
PORT TOWNSEND, 98368 Expiration Date 7/21/2001
APPLICANT: ELLIS SLATTERY PHONE:
311 BRIDLE WAY
PORT TOWNSEND WA 98368
7
SUBDIVISION: CAPE GEORGE VILLAGE DIV 5 Block: Lot:
PARCEL NUMBER: 941100007 Section: 18 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,
if different:
PROJECT DESCRIPTION PROPANE TANK, GAS PIPE & 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 07/21/2001.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance: K S-21-00 J NJ?. 4- ---
[ ] FinalAp'proval: t1 C[
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
. X
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00480 Received Date: 7/20/2000
SITE ADDRESS: 311 BRIDLE WAY
PORT TOWNSEND, 98368
APPLICANT: ELLIS SLATTERY PHONE:
311 BRIDLE WAY
PORT TOWNSEND WA 98368
SUBDIVISION: CAPE GEORGE VILLAGE DIV 5 Block: Lot: 7
PARCEL NUMBER: 941100007 Section: 18 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
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: PROPANE TANK, GAS PIPE & STOVE INSTALLATION
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION ADD'L: HEAT TYPE:
CODE EDITION: 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
—}'r xlmltyV - Fiat (0 ditions
Type Amount Paid By: Date: Receipt: Approved/pate
Propane Tanks/Stoves $48.00 MAM 07/20/00 33258
Total: $48.00
is\F_BLD_App_Bid.rpt 10/29/99
,
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK PELLET STOVE OTHER p.---) e C. r,--62 J
1 ADDRESS:9 ,3// ZJ 7 1 a
11#/ROAD NAME �/
,�y De„})--, „_, r 14/es_ ZIP 94rJ&r
9 DIGIT PARCEL ID NUMBER 9 9/ / )U Q Q f
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT 5s! ceg-7 PHONE
MAILING ADDRESS �.e.— _
ZIP
PROPERTY OWNER a--),ap-gf_c_zr-4PHONE 3 ' ,.-1 //7
MAILING ADDRESS y-c
ZIP
CONTRACTOR Sllvl S H f f Q P20 p KLn. PHONE 3 8, 37/7
MAILING ADDRESS (D S 5 3 Q- 10 y 0 2 .
Porr It-A,r�Lc, u`cJ C,,gc. . ZIP 5 T 3,3 ct
STATE LICENSE #
Si.l Vl.S ti-A14- 077 Q P EXP. DATE t t /0C
FEDERAL I.D. # If- 1 0 417 8 S 7
APPLICANT SIGNATURE a64."4•-- An, al. / ( DATE 7 l 1 P/ 61- .)
II FOR OFFICE USE ONLY
BASE FEE LI? , n D 1E C E II d # ; s 8
IRECEIPT
.ASH/CK # 72-0— -
TOTAL 8 . (Jd :I; �� �CATE /26/ C�C7t1
JEFFERSON COUNTY
DEPT. OF COMMuNITYDEvELOPMENT
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