HomeMy WebLinkAboutBLD2000-00598 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 #: BLD00-00598 Received Date 9/14/2000
SITE ADDRESS: 45 ROBBINS RD Issue Date 9/18/2000
NORDLAND, 98358 Expiration Date 9/18/2001
APPLICANT: GEORGE DENNISTON PHONE: (360)385-1882
45 ROBBINS RD
NORDLAND WA 98358
T 34
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 921084018 Section: Township: 29N Range: 1E
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2000
OWNER, GEORGE DENNISTON PHONE: (360)385-1882
if different: 45 ROBBINS RD
NORDLAND WA 98358
PROJECT DESCRIPTION GAS PIPE 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: 16;k15"....
[ } Tank/Line/Appliance: Ofr 9 �d 6f ---
[..} FinalApproval: a,t;/ 9'/0/ Li/L.,---4.24-1—_____
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 #: BLD00-00598 Received Date: 9/14/2000
SITE ADDRESS: 45 ROBBINS RD
NORDLAND, 98358
APPLICANT: GEORGE DENNISTON PHONE: (360)385-1882
45 ROBBINS RD
NORDLAND WA 98358
SUBDIVISION: Block: Lot: T 34
PARCEL NUMBER: 921084018 Section: Township: 29 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 PIPE 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: 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
Routing Date: F&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
—Proximity Hat Conditions
Type Amount Paid By: Date: Receipt: Approveae
Propane Tanks/Stoves $48.00 MAM 09/14/00 34311
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
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SITE ADDRESS: Nb(
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Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT 1)2_ 2-1 n ( PHONE 38 S - I Y-37
MAILING ADDRESS 5 C2
ZIP
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PROPERTY OWNER Cti-)112(/ PHONE
MAILING ADDRESS
ZIP
CONTRACTOR SLlvl S H I f Q P 20 P - PHONE 3 8,c- ,571 7
MAILING ADDRESS 1 0 2?53 R N-o 1p c 02 .
Po,rr E Lo uc c.,?a . ZIP 5 cr 33 `l
STATE LICENSE # S_t vl S tl-P 0 7 7 Q P EXP. DATE I l /cC?
FEDERALI.D. # `fl- loq78S7
APPLICANT SIGNATURE ,Oi13, a►•- / ( DATE 5
FOR OFFICE USE ONLY
BASE FEE RECEIPT # i
CASH/CK # �Z5
TOTAL DATE 9 / i L-1 / oO
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