HomeMy WebLinkAboutBLD2000-00578 R t
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 #: BLD00-00578 Received Date 9/7/2000
SITE ADDRESS: 304698 HWY 101 Issue Date 9/7/2000
BRINNON, 98320 Expiration Date 9/7/2001
APPLICANT: JIM PATTERSON PHONE: (360)796-3052
304698 HWY 101
BRINNON WA 98320
1-10
SUBDIVISION: JUPITER CITY Block: 16 Lot:
PARCEL NUMBER: 964601601 Section: 26 Township: 26N Range: 02W
CONTRACTOR: SUBURBAN PROPANE PHONE: 385-5096
P O BOX 989
PORT TOWNSEND WA 98368
Contractor's License SUBURPL044DA Expires 03/01/2001
OWNER,
if different:
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 09/07/2001.
REQUIRED INSPECTIONS:
Tank/Line/Appliance:
/'� Q
[`i Fi nalApproval: 6 l , 6,0 ,
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 #: BLD00-00578 Received Date: 9/7/2000
SITE ADDRESS: 304698 HWY 101
BRINNON, 98320
APPLICANT: JIM PATTERSON PHONE: (360)796-3052
304698 HWY 101
BRINNON WA 98320
SUBDIVISION: JUPITER CITY Block: 16 Lot: 1-10
PARCEL NUMBER: 964601601 Section: 26 Township: 26 N Range: 02 W
CONTRACTOR: SUBURBAN PROPANE PHONE: 385-5096
P 0 BOX 989
PORT TOWNSEND WA 98368
Contractor's License SUBURPL044DA Expires 03/01/2001
ARCH ITECT/
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:
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
Routing Date: F&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: —ProximityRcipt Plat Conditions
yp Receipt:
Propane Tanks/Stoves $48.00 MAM 09/07/00 34216
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
Vt/ O STOVE PROPANE TANK PELLET STOVE OTHER
SITE ADDRESS: �'*
911#/ROAD NAME J�/1�/6 �:.t"; D
*\-R \ i/ovV , / �---0 4 ZIP l C.�3��-E..%1
K
9 DIGIT PARCEL ID NUMBER '76 7 0 Go t
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT -ThV ,-. 3 J Lf\l/k P _____"-' PHONE •38 .C?
MAILING ADDRESS 2- _ ' 7x1/\
In ` Cam.) A- ZIP 9 8 '6-6
PROPERTY OWNER _-- ---- PA--Weit PHONE 17 96 r 3
MAILING ADDRESS 7 j r6 't 1 /0 r et
ET'u v\ n ✓( i L J } \- ZIP .?.B 3 ZQ
CONTRACTOR SC--.Sr dI `'' PHONE
MAILING ADDRESS /'T —
�,/^� ZIP
STATE LICENSE # '5 LD cp2 , -�j 1
9 0 "C EXP. DATE 3/c
FEDERAL I.D. #
7 APPLICANT SIGNATURE DATE g 12 /
FOR OFFICE USE ONLY
BASE FEE L 6 RECEIPT # =1-1 i(G
•
CASH/CK #
TOTAL " L+ DATE 9 /3. / 00
H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98