HomeMy WebLinkAboutBLD2000-00603 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 #: BLD00-00603 Received Date 9/18/2000
SITE ADDRESS: 24 MARILYN CT Issue Date 9/20/2000
PORT TOWNSEND, 98368 Expiration Date 9/20/2001
APPLICANT: MORT ROBINSON PHONE: (360)385-3720
24 MARILYN CT
PORT TOWNSEND WA 98368
2
SUBDIVISION: MORT ROBINSON LONG PLAT Block: ? Lot:
PARCEL NUMBER: 992500002 Section: 7 Township: 30N Range: 1W
CONTRACTOR: SUNSHINE PRO
PANE 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 STOVE & 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 09/20/2001
REQUIRED INSPECTIONS:
[ ] Tarrkkine/Appliance; �,t_ _
[ ] FinalApproval:
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 #: BLD00-00603 Received Date: 9/18/2000
SITE ADDRESS: 24 MARILYN CT
PORT TOWNSEND, 98368
APPLICANT: MORT ROBINSON PHONE: (360)385-3720
24 MARILYN CT
PORT TOWNSEND WA 98368
SUBDIVISION: MORT ROBINSON LONG PLAT Block: ? Lot: 2
PARCEL NUMBER: 992500002 Section: 7 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
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: GAS STOVE & PIPE INSTALLATION
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION
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
1-'roxim,ity - Plat Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 09/18/00 34321
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
A �
WOODSTOVE PR PCNTEANEI TnA K PELLET STOVE OTHER
SITE ADDRESS: lLYn &,l
911#/ROAD NAME
Pc� V O 'eitLA W C__ ZIP e2 G
9 DIGIT PARCEL ID NUMBER l g Z Soo 0 o Z
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT y r / h J rZ PHONE 3 (KS- 7
3 2-0
MAILING ADDRESS 61ZZ_
ZIP
PROPERTY OWNER PHONE
MAILING ADDRESS
ZIP
CONTRACTOR SL&V1 S H I rl P o o p Ate_ PHONE 3 8,5-- 3717
MAILING ADDRESS (D $S 3 R N-O 1t 02 .
Poe-I- l+Fro Louc L,YA • ZIP 5cf' 33 `�
STATE LICENSE # SC.I V1 3 tE P ( O7 7 Q p EXP. DATE I I /
FEDERAL I.D. # 10 q 7 8 s7
APPLICANT SIGNATURE �C-GC.►� cam- Q� !i►. / ( DATE q / / ( /
FOR OFFICE USE ONLY
BASE FEE
RECEIPT # �jl1 32-.
CASH/CK # 2 5 3
TOTAL DATE / /co
H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98