HomeMy WebLinkAboutBLD2000-00621 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 #: BLD00-00621 Received Date 9/25/2000
SITE ADDRESS: 224 9TH AVE Issue Date 9/26/2000
PORT HADLOCK, 98339 Expiration Date 9/26/2001
APPLICANT: GINA R MASSON PHONE: (360)379-0697
RAY TURNER
PO BOX 104
PORT HADLOCK WA 983390104 28-31
SUBDIVISION: IRONDALE Block: 64 Lot:
PARCEL NUMBER: 961806409 Section: 34 Township: 30N Range: 01W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2000
OWNER, GINA R MASSON PHONE: (360)379-0697
if different: RAY TURNER
PO BOX 104
PORT HADLOCK WA 983390104
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 09/26/2001.
REQUIRED INSPECTIONS:
[ ] Tank/Lin pIiance: )/C' / (q/7 ' .44 a,
[ ] FinalApproval:e,/c' 70/4 /fa
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 #: BLD00-00621 Received Date: 9/25/2000
SITE ADDRESS: 224 9TH AVE
PORT HADLOCK, 98339
APPLICANT: GINA R MASSON PHONE: (360)379-0697
RAY TURNER
PO BOX 104
PORT HADLOCK WA 983390104
SUBDIVISION: IRONDALE Block: 64 Lot: 28-31
PARCEL NUMBER: 961806409 Section: 34 Township: 30 N Range: 01 W
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:
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
Routing Date: F&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
I-'r ximrt - Mat C; d tions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 09/25/00 34370
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 1/ROPANE TANK PELLET STOVE OTHER
SITE ADDRESS: .2 .1 9 5
911#/ROAD NAME
T < . c- (.✓0. ZIP f d J3
9 DIGIT PARCEL ID NUMBER Po / - AQ6— fl/o
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANTJ/016. ) Ci jf o' - 3 e, 1 uire4te PHONE -3 7/ ^OGg7
MAILING ADDRESS p Q /0V
e/ . `ii,-�,Q.O cil ,),_.- ZIP 29.3i
PROPERTY OWNER Lc,,x' PHONE / ,
MAILING ADDRESS
ZIP
CONTRACTOR Sl lvl S N me__ PQ P P-r4-11_ PHONE 3 8,5-' 3717
MAILING ADDRESS toes-3 Q t-4-o b c c 2 .
Por•r (4-r4,0 Lo ucJ , Lac. . ZIP S e 33`(
STATE LICENSE # SCA VI S H-PtKo77gto EXP. DATE I I /OC?_
FEDERAL I.D. # 9 1- 1 0 c1 7 8 S 7
APPLICANT SIGNATURE GG(./`6,-- A- a►.- / ( DATE ( / d,'/ cry
FOR OFFICE USE ONLY `f
BASE FEE �(�r RECEIPT # 3 2 J / v
CASH/CK # 14?"5 7
TOTAL 4((�r W
1 DATE al /2,5/ 6b
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