HomeMy WebLinkAboutBLD2000-00622 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 #: BLD00-00622 Received Date 9/25/2000
SITE ADDRESS: 510 LOFTUS RD Issue Date 9/26/2000
PORT TOWNSEND, 98368 Expiration Date 9/26/2001
APPLICANT: JAMES E WEAVER JR PHONE: (360)385-5113
510 LOFTUS RD
PORT TOWNSEND WA 983689644
T4
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001182009 Section: 18 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, JAMES E WEAVER JR PHONE: (360)385-5113
if different: 510 LOFTUS RD
PORT TOWNSEND WA 983689644
PROJECT DESCRIPTION PROPANE TANK& GAS HEAT STOVE 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:
[ ] fan /Lin Appliance r
[4/ FinalApproval: L7 0,446 ru1/4, 61- -0
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 #: BLD00-00622 Received Date: 9/25/2000
SITE ADDRESS: 510 LOFTUS RD
PORT TOWNSEND, 98368
APPLICANT: JAMES E WEAVER JR PHONE: (360)385-5113
510 LOFTUS RD
PORT TOWNSEND WA 983689644
SUBDIVISION: Block: Lot: T 4
PARCEL NUMBER: 001182009 Section: 18 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 & GAS HEAT STOVE 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: —Proximity Approved/Date
dtlons
Receipt:y
Propane Tanks/Stoves $48.00 MAM 09/25/00 34370
Total: $48.00
i:\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 S e1"C
SITE ADDRESS: /
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i P . 7 o(..)n 3 Q 0 IAA ZIP 636 a
9 DIGIT PARCEL ID NUMBER 0 0 i / d' 2- D O
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT jar)--,-5 e 6-v.e.�/ PHONE 3Q ,5 J //3
MAILING ADDRESS Sirre-
ZIP
PROPERTY OWNER /"`W JCS /l c 4-, t
PHONE
MAILING ADDRESS _
ZIP
CONTRACTOR SC-WI S H I h P20 t7 AIR_ PHONE 3 86-'- $"79
MAILING ADDRESS (O 2?S 3 R 1•40 0 y 0 2 .
POrT- ft i c, cJ ` LG . ZIP 5cf' 33ct
STATE LICENSE # StAosti-Pelco77Q10 EXP. DATE 11 /OQ
FEDERAL I.D. # _ 91- (D q 7 8 S 7
APPLICANT SIGNATURE CC-G!./'4. AP-% ' 41.' / c DATE 5?/ 1 / !/
FOR OFFICE USE ONLY
BASE FEE ��� RECEIPT # 34 3'77 0
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CASH/CK # -- 1S# 1
TOTAL ({g!`�° DATE 1 /.26/°3
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