HomeMy WebLinkAboutBLD2000-00596 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 #: BLD00-00596 Received Date 9/14/2000
SITE ADDRESS: 940 MARTIN RD Issue Date 9/18/2000
PORT TOWNSEND, 98368 Expiration Date 9/18/2001
APPLICANT: GENE VERRAES PHONE: (360)385-6447
KATHY VERRAES
940 MARTIN RD
PORT TOWNSEND WA 98368 T 10
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001291012 Section: 9 Township: 30N Range: 1W
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 09/18/2001
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance:
[ 1 FinalApproval: O JC 1 /
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 #: BLD00-00596 Received Date: 9/14/2000
SITE ADDRESS: 940 MARTIN RD
PORT TOWNSEND, 98368
APPLICANT: GENE VERRAES PHONE: (360)385-6447
KATHY VERRAES
940 MARTIN RD
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot: T 10
PARCEL NUMBER: 001291012 Section: 9 Township: 30 N Range: 1
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
VALUATION MAIN:
CODE EDITION: ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER. SHORELINE
CONST TYPE: GARAGE:
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
—1'r ximity - Nlat UO ditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 09/14/00 34311
Total: $48.00
is\F_BLD_App_Bid.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 'OTHER q.�,y,Q
SITE ADDRESS: /�
911#/ROAD NAME ("l1 � �O '? /Z j7/f pe)
064)/71J efWj 4)6' ZIP 5(06,d'
9 DIGIT PARCEL ID NUMBER C/G/ 9/ 6 /
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT pj/n/"Qe' r Ge77 . PHONE 3 c'c" 7
MAILING ADDRESS
ZIP
PROPERTY OWNER PHONE
MAILING ADDRESS 7
ZIP
CONTRACTOR Sf& 1 S H I n Q. P2O 0 Ate._ PHONE 3 85-- 3717
MAILING ADDRESS (0 t?5 3 12.14-b It 02 .
Po,rr 14pyjLocac L & . ZIP 5 331
STATE LICENSE # StAo S}}P o 7 7 Q p EXP. DATE 1 I /OC)
FEDERAL I.D. # 91- I o g 7 Q s�
APPLICANT SIGNATURE ,QJy, v►.- / e DATE 9 / / /
FOR OFFICE USE ONLY
BASE FEE RECEIPT # 3L13 iI
CASH/CK # .1 ZS t
TOTAL DATE 9 /I LI / oc
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