HomeMy WebLinkAboutBLD2000-00699 L '
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 #: BLD00-00699 Received Date 10/20/2000
SITE ADDRESS: 356 POINT WHITNEY RD Issue Date 10/20/2000
BRINNON, 98320 Expiration Date 10/20/2001
APPLICANT: DOUG PETERSON PHONE: (206)963-2658
2840 139TH AVE SE
#5
BELLEVUE WA 98005 5
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 601181008 Section: 18 Township: 26N 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, DOUG PETERSON PHONE: (206)963-2658
if different: 2840 139TH AVE SE
#5
BELLEVUE WA 98005
PROJECT DESCRIPTION GAS PIPE/ RANGE & HOOD 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 10/20/2001.
REQUIRED INSPECTIONS:
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[ ] Tank/Line/Applianc es /X-C* /
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IApproyal:'
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 #: BLD00-00699 Received Date: 10/20/2000
SITE ADDRESS: 356 POINT WHITNEY RD
BRINNON, 98320
APPLICANT: DOUG PETERSON PHONE: (206)963-2658
2840 139TH AVE SE
#5
BELLEVUE WA 98005
SUBDIVISION: Block: Lot: 5
PARCEL NUMBER: 601181008 Section: 18 Township: 26 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: GAS PIPE / RANGE & HOOD INSTALLATION
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION MAIN:
CODE EDITION: 1997 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
Type Amount Paid By: Date: —Proximity - I'lat Conditions
yp Receipt: Approveae
Propane Tanks/Stoves $48.00 MAM 10/20/00 34742
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
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WOODSTOVE PROPANE TANK PELLET STOVE y OTHER (/?/SITE ADDRESS:
911#/ROAD NAME 35 Po/ ,,11- h rtiisu7 0 /j 0 Q
/ ZIP 623 0
9 DIGIT PARCEL ID NUMBER t(O 1 1 ,91 ®O e
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT DQ(ti G., - P_r-�, PHONE
MAILING ADDRESS •8 qv 139 'le— Ave S (' L --
06(e ei_e ,/� ` "" - ZIP 4 F0 O
PROPERTY OWNER St PHONE (0 94 3 -.6,1""
MAILING ADDRESS
ZIP
CONTRACTOR Sun .5I-I1nQ_ P(QOPIq.%„_ PHONE 38, - sly?
MAILING ADDRESS (0 g S 3 RI.1-0 a y 0 2 .
Porr (�l-A4,0 Lc uic_ L)& . e.
zip 5 cr 33`l
STATE LICENSE # SLd V1 s}{-P . 07 7 Q P EXP. DATE I I /OC)
FEDERAL I.D. # 91- I o q -7 8 S 7
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APPLICANT SIGNATURE a1_4*--c.-- An-,An-, ' 01,- ( DATE /d/ h / CV
FOR OFFICE USE ONLY
BASE FEE • RECEIPT # 2j L( -TIP_
CASH/CK # 1-2Z,--4-9"
TOTAL DATE it)/ 00
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