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HomeMy WebLinkAboutBLD2000-00374 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 #: BLD00-00374 Received Date 6/8/2000 SITE ADDRESS: 241 7TH AVE Issue Date 6/12/2000 PORT HADLOCK, 98339 Expiration Date 6/12/2001 APPLICANT: HAROLD HAMMER JR PHONE: (360)385-0993 241 7TH AVE PORT HADLOCK WA 98339 1-7 SUBDIVISION: IRONDALE Block: 53 Lot: PARCEL NUMBER: 961805301 Section: 34 Township: 30N Range: 01W CONTRACTOR: CENEX SUPPLY& MARKETING PHONE: (360)732-4585 PO BOX 518 AUBURN WA 98071-0518 Contractor's License CENEXHS022NQ Expires 09/01/2000 OWNER, if different: PROJECT DESCRIPTION 2 120 GAL PROPANE TANK INSTALLATIONS 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 06/12/2001. REQUIRED INSPECTIONS: eTank/Line/Appliance OK, iJ (c) I �� [ ] FinalApproval: •J 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 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00374 Received Date: 6/8/2000 SITE ADDRESS: 241 7TH AVE PORT HADLOCK, 98339 APPLICANT: HAROLD HAMMER JR PHONE: (360)385-0993 241 7TH AVE PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE Block: 53 Lot: 1-7 PARCEL NUMBER: 961805301 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: CENEX SUPPLY& MARKETING PHONE: (360)732-4585 PO BOX 518 AUBURN WA 98071-0518 Contractor's License CENEXHS022NQ Expires 09/01/2000 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: 2 120 GAL PROPANE TANK INSTALLATIONS 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: 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 F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: �rReceipt:OtApproved/Date y 1 dons Propane Tanks/Stoves $48.00 MAM 06/08/01 31596 Total: $48.00 I:\F_BLD_App_Bld.rpt 10/29/99 JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450 f�{P1/4,5 % © INSTALLATION PERMIT APPLICATION c'a e h WOODSTOVE 'PROPANE TANK PELLET STOVE OTHER SITE ADDRESS: 911#/ROAD NAME JJ �j ZIP 2 9 DIGIT PARCEL ID NUMBER l} (-t� / d -8 G� Legal Description: Subdivision Name Block Lotls) Section Township North, Range WM APPLICANT 17/7 F-v 2-yd- )-/a.r m "� /' PHONE J 0 J ` O MAILING ADDRESS , 1/ ( 7-6' A a_,el I, ZIP PROPERTY OWNER k"' PHONE MAILING ADDRESS ZIP CONTRACTOR - N t-x PHONE MAILING ADDRESS h !h7 d C C' h 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 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 DATE / / FOR OFFICE USE ONLY BASE FEE tt C RECEIPT# S c' CASH/CK`# (AS TOTAL DATE 6/ ry / H:\HOME\PLN CNTR\FORMS\I NSTALL.DOC 10/99