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HomeMy WebLinkAboutBLD2000-00666 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 #: BLD00-00666 Received Date 10/11/2000 SITE ADDRESS: 31 E KINKAID Issue Date 10/11/2000 PORT HADLOCK, 98339 Expiration Date 10/11/2001 APPLICANT: HOLLY HOFFMAN PHONE: (360)379-6417 TROY HANNA 31 E KINKAID PORT HADLOCK WA 98331 34-38 SUBDIVISION: IRONDALE Block: 8 Lot: PARCEL NUMBER: 961800810 Section: 34 Township: 30N Range: 01W CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420 PO BOX 1031 PORT TOWNSEND WA 98368 Contractor's License PETTIOCO88CC Expires 05/01/2001 OWNER, HOLLY HOFFMAN PHONE: (360)379-6417 if different: TROY HANNA 31 E KINKAID PORT HADLOCK WA 98331 PROJECT DESCRIPTION PROPANE TANK& HEATER 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 10/11/2001. REQUIRED INSPECTIONS: [L Tank/Line/Appliance: n K o" .3-0�' G [ '. 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 #: BLD00-00666 Received Date: 10/11/2000 SITE ADDRESS: 31 E KINKAID PORT HADLOCK, 98339 APPLICANT: HOLLY HOFFMAN PHONE: (360)379-6417 TROY HANNA 31 E KINKAID PORT HADLOCK WA 98331 SUBDIVISION: IRONDALE Block: 8 Lot: 34-38 PARCEL NUMBER: 961800810 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420 PO BOX 1031 PORT TOWNSEND WA 98368 Contractor's License PETTIOCO88CC Expires 05/01/2001 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: PROPANE TANK & HEATER 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: �rReceipt: Approved/pate Propane Tanks/Stoves $48.00 MAM 10/11/00 34658 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 WOODSTOVE ><PROPANE TANK PELLET STOVE OTHER 8 +'64 SITE ADDRESS: 911#/ROAD NAME '2, I e lj r pia Pot( rl f9Lccl c..410f9- ZIP / If J 37 q 9 DIGIT PARCEL ID NUMBER (c/-8 00 - 8/d Legal Description: Subdivision Name Block Lot(s) Section Township North, Range WM APPLICANT 9 "9- ffn/v/l� PHONE 5 2 g -6 v/7 MAILING ADDRESS 3( E 1) 5 r CO2 i F/, /SUOCi ttk ZIP PROPERTY OWNER 14.01.7 1 YOFt-/41/4'/ 1 PHONE MAILING ADDRESS ZIP CONTRACTOR f' / 7 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 b .14' DATE /I' / f/ / ©v FOR OFFICE USE ONLY t, BASE FEE RECEIPT# -"4{{ L7 5 CASH/CK# t� Lrj TOTAL . ® DATE IC)/ / a) H:\HOME\PLNCNTR\FORMS\INSTALL.DOC 10/99