HomeMy WebLinkAboutBLD2000-00677 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 #: BLD00-00677 Received Date 10/13/2000
SITE ADDRESS: 2981 WEST VALLEY RD Issue Date 10/16/2000
CHIMACUM, 98325 Expiration Date 10/16/2001
APPLICANT: HAZEL E BAUMUNK PHONE:
132 45TH ST
PORT TOWNSEND WA 983682101
SUBDIVISION: Block: :Lot
PARCEL NUMBER: 901274003 Section: 27 Township: 29N 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, HAZEL E BAUMUNK PHONE:
if different: 132 45TH ST
PORT TOWNSEND WA 983682101
PROJECT DESCRIPTION PROPANE TANK, GAS PIPE & 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 10/16/2001.
REQUIRED INSPECTIONS:
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[14 FinalApproval: �X L. j U ..2 3
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 #: BLD00-00677 Received Date: 10/13/2000
SITE ADDRESS: 2981 WEST VALLEY RD
CHIMACUM, 98325
APPLICANT: HAZEL E BAUMUNK PHONE:
132 45TH ST
PORT TOWNSEND WA 983682101
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 901274003 Section: 27 Township: 29 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
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: PROPANE TANK, GAS PIPE & STOVE 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
F&W Landslide
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
—Proximity - I'lat conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 10/13/00 34718
Total: $48.00
is\F_BLD_App_Bld.rpt 10/29/99
NEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
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Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT 8A4a-. - 1 J
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MAILING ADDRESS PD e O)c (l(o q
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PROPERTY OWNER . PHONE
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CONTRACTOR SU.vi S N I n Q.. P20 9 A4-&. PHONE 3 8c' Sly 7
MAILING ADDRESS (0 47 S 3 Q F}.p 0 t, 0 2
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STATE LICENSE # SLlV1Stf Pic 077QP EXP. DATE I I /00
FEDERALI.D. # 91- 10R -78S7
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APPLICANT SIGNATURE .LC.r"c•--- ,0r)-% ' al.- ( DATE / ej/ // /
FOR OFFICE USE ONLY
BASE FEE f, ; E I Wi E RECEIPT # 3l-{i 1�j
d` CASH/CK # -7-2-.,
TOTAL l ' OCT 1 3 2v:3 €
DATE '10/ 13 /bD
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