HomeMy WebLinkAboutBLD2000-00620 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 #: BLD00-00620 Received Date 9/25/2000
SITE ADDRESS: 305 FREDERICKS ST Issue Date 9/25/2000
PORT TOWNSEND, 98368 Expiration Date 9/25/2001
APPLICANT: JULIAN L ARTHUR PHONE: (360)379-0449
KATHY ARTHUR
305 FREDERICKS ST
PORT TOWNSEND WA 98368 1-8
SUBDIVISION: COVE ADDITION Block: 14 Lot:
PARCEL NUMBER: 945901401 Section: 16 Township: 30N Range: 01W
CONTRACTOR: SUBURBAN PROPANE PHONE: 385-5096
P 0 BOX 989
PORT TOWNSEND WA 98368
Contractor's License SUBURPL044DA Expires 03/01/2001
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 09/25/2001.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance:
[ ] 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 #: BLD00-00620 Received Date: 9/25/2000
SITE ADDRESS: 305 FREDERICKS ST
PORT TOWNSEND, 98368
APPLICANT: JULIAN L ARTHUR PHONE: (360)379-0449
KATHY ARTHUR
305 FREDERICKS ST
PORT TOWNSEND WA 98368
SUBDIVISION: COVE ADDITION Block: 14 Lot: 1-8
PARCEL NUMBER: 945901401 Section: 16 Township: 30 N Range: 01 W
CONTRACTOR: SUBURBAN PROPANE PHONE: 385-5096
P 0 BOX 989
PORT TOWNSEND WA 98368
Contractor's License SUBURPL044DA Expires 03/01/2001
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: PROPANE TANK 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
Type Amount Paid By: Date: —Proxima
ieie pt - ApproHlatved/pate
e attlons
p � pP ��a e
Propane Tanks/Stoves $48.00 MAM 09/25/00 34300
Total: $48.00
is\F_BLD_App_Bld.rpt 10/29/99
JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 1360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE k_PROPANE TANK PELLET STOVE OTHER
SITE ADDRESS:
911#/ROAD NAME 305 ,i2-eO'e' d2 i C/6,c S7
t i2T 7-0w4 S "en,.O G., !9 ZIP YF.3 U
9 DIGIT PARCEL ID NUMBER 945 . 901 • 001
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT7/PJ"/ /9,e-Thif/1'(- PHONE ,?(of O- J 7y OYYy
MAILING ADDRESS 3O_r ",e-e 0-e/�i C/L/` S 7=
l/ 6rz: 7-Own f-en. L✓{/J// ZIP y -?"--.36,
PROPERTY OWNER 5}'vn'? 'e_ PHONE
MAILING ADDRESS
ZIP
CONTRACTOR SCJ e uK 64i- - 1/2d (9/¢)/ - PHONE
MAILING ADDRESS
ZIP
STATE LICENSE# 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.
APPLICANT SIGNATURE / (---/ /' �j^-� .- DATE 7 /,251OJ
FOR OFFICE USE ONLY
BASE FEE 7;i l _ RECEIPT#, ,
!! ': CASH/CK#
TOTAL 7 - .(--) „ DATE . / -/ ' : ,
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