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HomeMy WebLinkAboutBLD2000-00619 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 #: BLD00-00619 Received Date 9/22/2000 SITE ADDRESS: 375 MERRY RD Issue Date 9/25/2000 NORDLAND, 98358 Expiration Date 9/25/2001 APPLICANT: ROBERT GARING PHONE: (360)379-8937 VIOLA CARING 375 MERRY RD NORDLAND WA 98358 13 SUBDIVISION: OLSON & HAMBLETON'S Block: Lot: PARCEL NUMBER: 977700038 Section: 9 Township: 29N Range: 01 E CONTRACTOR: SUNDANCE SOLAR PHONE: 888-373-1974 3301 HWY 16 PORT ORCHARD WA 98366 Contractor's License SUNDAS*066MG Expires 05/19/2001 OWNER, if different: PROJECT DESCRIPTION PROPANE TANK, STOVE & FIREPLACE INSERT 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 09/25/2001. REQUIRED INSPECTIONS: [�:m,hnc/Appliance: 7cAt ri �y P I1 014-111,400 104 tt [ ] Ft na!Approva L —�e--' 10(9(e e) 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 S + t BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00619 Received Date: 9/22/2000 SITE ADDRESS: 375 MERRY RD NORDLAND, 98358 APPLICANT: ROBERT GARING PHONE: (360)379-8937 VIOLA GARING 375 MERRY RD NORDLAND WA 98358 SUBDIVISION: OLSON & HAMBLETON'S Block: Lot: 13 PARCEL NUMBER: U ER: 977700038 Section: 9 Township: Range:N Ran e: 01 E CONTRACTOR: SUNDANCE SOLAR PHONE: 888-373-1974 3301 HWY 16 PORT ORCHARD WA 98366 Contractor's License SUNDAS*066MG Expires 05/19/2001 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: PROPANE TANK, STOVE & FIREPLACE INSERT INSTALLATION TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: 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 F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural —Proximity - Hat c; ditions Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $48.00 MAM 09/22/00 34334 Total: $48.00 is\F_BLD_App_Bld.rpt 10/29/99 JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450 INSTALLATION PERMIT APPLICATION ` a— __WOODSTOVE PROPANE TANK PELLET STOVE �. OTHER c \ a\J-� ��� ��Nr`S L` SITE ADDRESS: '�!� J 911#/ROAD NAME .� c t) - ' I . f r t�f, r (- cz cl 1\1 or-d Iandf fii, A- ZIP 7 ..3s� 9 DIGIT PARCEL ID NUMBER �] ^ 7a 0-- 6.3� G 3 l�/so11 , r k7464 s R,'tom Prt i-Fu tiaii Legal Description: x � '1�""C � � Subdivision Name ''(�'' U ?4 04,e'7Vic'©rc4J f gloct s.41 C) n Lot(s) Section Township `2r A) North, Range / E - WM APPLICANT Rbberl !t- VI 0 ' 0--Q f- I n PHONECZO6)2 2 -a2So-'7 MAILING ADDRESS 2-2.S 3- G l I�Ai�-A F4 D r• 0. `1 1.�6 ti' f filIe , kV A . ZIP 97J6/ PROPERTY OWNER i(,t, n Y �r��2� Y l01 L3 �Q I))6j PHONEC96 6)3 7 77 W57 MAILING ADDRESS '3.30 '- �l.e y' r ` I 110E-4 / CN0 , 10A ZIP gg3S-t Cu 3iO n ,4 � a r-1'h l CONTRACTOR - PHONE 6 a')-'1 1 61. 33 I MAILING ADDRESS / -7 SI a-r e -iI i ii e,t1 e ti 3 vim' li IJ ?r) c (51)0 (Al P. ZIP 113 -10 --q."7 (01 STATE LICENSE # 3 (,L r14 4 $ -6(,6 Mr,- EXP. DATE FEDERAL I.D. # By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments, court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and it's employees, representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. 7. APPLICANT SIGNATURE U G' vs DATE 1 / 7 / Q O FOR OFFICE USE ONLY f BASE FEE �G RECEIPT# ) I I CASH/CK# ► "l) g TOTAL y y-i 00 DATE CA l 2/cep H:\HOME\PLNCNTR\FORMS\INSTALL.DOC 10/99