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HomeMy WebLinkAboutBLD2000-00645 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 #: BLD00-00645 Received Date 10/3/2000 SITE ADDRESS: 101 CAMANO LN Issue Date 10/4/2000 PORT LUDLOW, 98365 Expiration Date 10/4/2001 APPLICANT: WARREN BIERMAN PHONE: (360)437-9892 4400 STOVEWAY LN #108 SEATTLE WA 98103 43 SUBDIVISION: PORT LUDLOW NO 2 AREA 2 Block: Lot: PARCEL NUMBER: 990600243 Section: 9 Township: 28N Range: 01 E CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP`077QP Expires 11/17/2000 OWNER, WARREN BIERMAN PHONE: (360)437-9892 if different: 4400 STOVEWAY LN #108 SEATTLE WA 98103 PROJECT DESCRIPTION PROPANE TANK, 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 10/04/2001. REQUIRED INSPECTIONS: [ IJ ,—Tank/Line/Appliance: ` / / � ( e) i k' FiralAp�proves. ( D / /el-to 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 #: BLD00-00645 Received Date: 10/3/2000 SITE ADDRESS: 101 CAMANO LN PORT LUDLOW, 98365 APPLICANT: WARREN BIERMAN PHONE: (360)437-9892 4400 STOVEWAY LN #108 SEATTLE WA 98103 SUBDIVISION: PORT LUDLOW NO 2 AREA 2 Block: Lot: 43 PARCEL NUMBER: 990600243 Section: 9 Township: 28 N Range: 01 E 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 & PIPE 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 - Plat conditions Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $48.00 MAM 10/03/00 34519 Total: $48.00 is\F_BLD_App_Bld.rpt 10/29/99 JEARSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORTTTOWNSEND WA 98368 PH: (360) 379-4450 INSTALLATION PERMIT APPLICATION WOODSTOVE X PROPANE TANK PELLET STOVE OTHER he_ , t,0_, SITE ADDRESS: (i l t p cr 2_, 911#/ROAD NAME 1 o ( C gl'vl A-n V L P7- L-- 1-0 Gi tJ c _ ZIP 90:17.)GS 9 DIGIT PARCEL ID NUMBER C C 0 106)V Z4 3 Legal Description: �/ Subdivision Name Block Lot(s) Section Township North, Range WM APPLICANT L) a�rBN,-.. 6,elm ct.4„, PHONE d 7 u 7 q '9 Z MAILING ADDRESS l 0 0 S ,`eta.) L n ii / 0 p e e. c.J c., ZIP 1 / 03 PROPERTY OWNER a r -�„ PHONE MAILING ADDRESS le ZIP CONTRACTOR Su tel S H I h P 2-O P A-4-t-Q_ PHONE 3 8, "- 57q 7 MAILING ADDRESS (0 $53 RFk) it 02 . Po r'T- 14--A,0 L,o c i cc. i (-4)-6. . ZIP 5 d' 3 3 ct STATE LICENSE # SLA vI S H!-P 0 7 7 4 P EXP. DATE I I /Off? FEDERAL I.D. # 9 i- l O ct 7 8 S y APPLICANT SIGNATURE do?" CC.GI�'—c.. ,Q p / ( DATE q / C7 d/ CU FOR OFFICE USE ONLY ii BASE FEE (� ((� (� �/] (� RECEIPT # 3I-) 5 l pi tS l'J� !S V 15 SH/CK # 1 Z6G TOTAL � r _n IbkTE I0 / 3 /©O OCT — 3 2GCO 1_,:'./ H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98 JEFFEKSON COUNTY DEPT. OF COMMUNITY DEVELOPMENT