HomeMy WebLinkAboutBLD2000-00403 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 #: BLD00-00403 Received Date 6/19/2000
SITE ADDRESS: 51 MOLENDA LN Issue Date 6/20/2000
PORT TOWNSEND, 98368 Expiration Date 6/20/2001
APPLICANT: ROGER WOODS PHONE: (360)379-1903
LINDA WOODS
51 MOLENDA
PORT TOWNSEND WA 98368 66
SUBDIVISION: DISCOVERY BAY VILLAGE Block: Lot:
PARCEL NUMBER: 947400066 Section: 13 Township: 29N Range: 02W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2000
OWNER, ROGER WOODS PHONE: (360)379-1903
if different: LINDA WOODS
51 MOLENDA
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION GAS PIPE & 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 06/20/2001.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance: cJ ,
] FinalApproval: ; , /"�f'�' �v,r/sl�N �' > U �
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 #: BLD00-00403 Received Date: 6/19/2000
SITE ADDRESS: 51 MOLENDA LN
PORT TOWNSEND, 98368
APPLICANT: ROGER WOODS PHONE: (360)379-1903
LINDA WOODS
51 MOLENDA
PORT TOWNSEND WA 98368
SUBDIVISION: DISCOVERY BAY VILLAGE Block: Lot: 66
PARCEL NUMBER: 947400066 Section: 13 Township: 29 N Range: 02 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: GAS PIPE & 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
'1-'r xlmlty - Plat U d dons
Type Amount Paid By: Date: Receipt: Approved/Date
Total:
I:\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 X OTHER O, 0 (
SITE ADDRESS: ` �'""''`
911#/ROAD NAME 51 M ake
P T - 1 o(..p }mil D v+k 6 ZIP q') 8 3 (.8
9 DIGIT PARCEL ID NUMBER I Lt. l Lia o O 6, (0
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT S. Li4y-..9-„— iJ oo-733 PHONE 37 9 / 9°3
MAILING ADDRESS
ZIP
PROPERTY OWNER C_-t PHONE / ,-
MAILING ADDRESS
ZIP
CONTRACTOR Suvt s N I n e- PR-0 P$ Q_ PHONE 3 8, - ,57g 7
MAILING ADDRESS (0 g5.3 Rt-4-0 10 02 .
Po,rT LP cIC (.?c. • e
ZIP 5 33 ct
'
STATE LICENSE # a�L
l
Sc,�v�s�.p� 0 7 7 Q p l EXP. DATE r
FEDERAL I.D. # ` 1- 1 0 g 7 8 S 7
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APPLICANT SIGNATURE aGGLr"� Al)-‘ / ( DATE 1% I ic., I GZ
FOR OFFICE USE ONLY
BASE FEE RECEIPT # ' 1 1-1 1
771
D E c lE. , [1 V '-•A'-s 'i, ,
TOTAL li 3 , DATE I ,;i del / Oo
j1 �,I=.� 1 G ,..�
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