HomeMy WebLinkAboutBLD2000-00593 i f
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 #: BLD00-00593 Received Date 9/14/2000
SITE ADDRESS: 64 LAUREL ST Issue Date 9/15/2000
PORT HADLOCK, 98339 Expiration Date 9/15/2001
APPLICANT: BETH FOSTER PHONE:
LARRY FOSTER
64 LAUREL ST
PORT HADLOCK WA 98339 T 24
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 921063006 Section: 06 Township: 29N Range: 01 E
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 GAS 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 09/15/2001.
REQUIRED INSPECTIONS:
[ Tank/Lin fiance;) (rr(N770v r P"---(47rr-
[ FinalApproval: f d>st l --/?—D(
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 #: BLD00-00593 Received Date: 9/14/2000
SITE ADDRESS: 64 LAUREL ST
PORT HADLOCK, 98339
APPLICANT: BETH FOSTER PHONE:
LARRY FOSTER
64 LAUREL ST
PORT HADLOCK WA 98339
SUBDIVISION: Block: Lot: T 24
PARCEL NUMBER: 921063006 Section: 06 Township: 29 N Range: 01 E
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: GAS HEAT 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
—Proximity - Nlat Conditions
Type Amount Paid By: Date: Receipt: Approved/Uate
Propane Tanks/Stoves $48.00 MAM 09/14/00 34311
Total: $48.00
is\F_BLD_App_Bld.rpt 10/29/99
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JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK PELLET STOVE _'THER 9ao 4.4- Fc,„,2,
SITE ADD
RESS: /7-4
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911#/ROAD NAME �y L,.G (�1� -
fir- Q (/( ( ZIP )(i2 i
9 DIGIT PARCEL ID NUMBER qc).. j U (0.1 0 0 6
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT L Gt-trrii CoST-0--(2_, PHONE 37 f— v 9U d
MAILING ADDRESS d"
ZIP
PROPERTY OWNER G%P)Q-P` PHONE
MAILING ADDRESS
ZIP
CONTRACTOR SU.vl S N I h e._. P(Lo p rC4 LQ_ PHONE 3 85-- S7g 7
MAILING ADDRESS (O $5-3 R t-I-0 b y 0 2
Poe- K-AYO Lo cUc (..?e. • ZIP S 331
STATE LICENSE # SL(vl s h-p p 7 7 Q p EXP. DATE I I r OC?
FEDERAL L.D. # 9 i- 10 Ci 7 8 S 7
•
APPLICANT SIGNATURE a.-LC.i"c..-- ,Otn-, 01,- / ( DATE , / // / U )
FOR OFFICE USE ONLY
BASE FEE RECEIPT # 3-j 3 1
CASH/CK # -3ZS I
TOTAL
DATE CI /114/ O0
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