HomeMy WebLinkAboutBLD2000-00605 •
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 #: BLD00-00605 Received Date 9/18/2000
SITE ADDRESS: 263 GREENVIEW LN Issue Date 9/20/2000
PORT LUDLOW, 98365 Expiration Date 9/20/2001
APPLICANT: DON HAAS PHONE: (360)437-7810
SANDRA HAAS
263 GREENVIEW LN
PORT LUDLOW WA 98365 9
SUBDIVISION: GREENVIEW VILLAGE Block: Lot:
PARCEL NUMBER: 955600009 Section: 1 Township: 28N 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, DON HAAS PHONE: (360)437-7810
if different: SANDRA HAAS
263 GREENVIEW LN
PORT LUDLOW WA 98365
PROJECT DESCRIPTION GAS HEAT 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:
[ = nk/tine/Applianc ®/e S-427/0/
[ alApproyal:
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 #: BLD00-00605 Received Date: 9/18/2000
SITE ADDRESS: 263 GREENVIEW LN
PORT LUDLOW, 98365
APPLICANT: DON HAAS PHONE: (360)437-7810
SANDRA HAAS
263 GREENVIEW LN
PORT LUDLOW WA 98365
SUBDIVISION: GREENVIEW VILLAGE Block: Lot: 9
PARCEL NUMBER: 955600009 Section: 1 Township: 28 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 HEAT STOVE & 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
Plat U ditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 09/18/00 34321
Total: $48.00
is\F_BLD_App_Bld.rpt 10/29/99
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK PELLET STOVE OTHER itfLa IZ/` CJ
SITE ADDRESS: a6 V lLc --
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9 DIGIT PARCEL ID NUMBER q,s- (0 0 0 00 ci
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT Dom- S. c)6 6-- iNIG--C--4.) / / o
PHONE q 3
MAILING ADDRESS 3/
ZIP
PROPERTY OWNER G PHONE /t
MAILING ADDRESS
ZIP
CONTRACTOR SU V1 S N I V1 Q P a-0 P$I--'Q PHONE 3 8, - 37g
MAILING ADDRESS )D 27 S 3 Rt-W It 02 .
Pori- 14- L,o cac LAN% . ^ ZIP 5 cf 33 `l
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STATE LICENSE #
SL-lV1SH-A*- 077QP EXP. DATE IIrDC?_
FEDERAL I.D. # 91- 10 ct 7 8 s-1
APPLICANT SIGNATURE LC G4"-c.— ,0n., ay / c DATE 7 / /f/
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FOR OFFICE USE ONLY
BASE FEE 3 ?/
RECEIPT # E1 L� 1
CASH/CK # '7 25 3
TOTAL DATE 9 / C g./ dL
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