HomeMy WebLinkAboutBLD2000-00604 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 #: BLD00-00604 Received Date 9/18/2000
SITE ADDRESS: 3320 OAK BAY RD Issue Date 9/20/2000
PORT HADLOCK, 98339 Expiration Date 9/20/2001
APPLICANT: LAMAR CAMPBELL PHONE:
3320 OAK BAY RD
PORT HADLOCK WA 98339
2
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 921191010 Section: 9 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,
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 09/20/2001.
REQUIRED INSPECTIONS:
[vrjj(nk/Lin /Appliance: /0/ /QB
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 #: BLD00-00604 Received Date: 9/18/2000
SITE ADDRESS: 3320 OAK BAY RD
PORT HADLOCK, 98339
APPLICANT: LAMAR CAMPBELL PHONE:
3320 OAK BAY RD
PORT HADLOCK WA 98339
SUBDIVISION: Block: Lot: 2
PARCEL NUMBER: 921191010 Section: 9 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: 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:
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
F&W Landslide
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
—F'rQxlmlty - Flat C;ond tlons
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
t i
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE l/ PROPANE TANK PELLET STOVE OTHER
SITE ADDRESS: 33 0 � e
911#/ROAD NAME �l / _J 7- `l 1� o cic l v"C' ZIP 9 833
9 DIGIT PARCEL ID NUMBER t a,I 19 r Q / V
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT �t /� C Ct Yt�/r IJ' PHONE q3 7 O/2
MAILING ADDRESS (`
ZIP
PROPERTY OWNER
� PHONE
MAILING ADDRESS
ZIP
CONTRACTOR Suvt S N In P2o(> _ PHONE 5-q
7
MAILING ADDRESS (D g S 3 RN-0 IO y 0 2 ,
Pori- 11-Ay3�c u�cJ C. -e. . ' ZIP 5 se 3 3 `i
STATE LICENSE #
SC.IVI.Slfpti( Q77Q0 EXP. DATE ll /OC?
FEDERAL I.D. # ell- 10 c1 7 S 7
APPLICANT SIGNATURE �GC.r'c.- �� a►.- / DATE / / /fri./
FOR OFFICE USE ONLY
BASE FEE RECEIPT # 31 3-L
CASH/CK # -3 25 3
TOTAL DATE 9 /I�j / W
H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98