HomeMy WebLinkAboutBLD2000-00518 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 #: BLD00-00518 Received Date 8/4/2000
SITE ADDRESS: 4595 EAGLEMOUNT RD Issue Date 8/7/2000
CHIMACUM, 98325 Expiration Date 8/7/2001
APPLICANT: ANDREW L DRISCOLL PHONE: (360)732-4426
KAREN DRISCOLL
4595 EAGLEMOUNT RD
CHIMACUM WA 98325
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 801044002 Section: 04 Township: 28N 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,
if different:
PROJECT DESCRIPTION PROPANE TANK & GAS WATER HEATER
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 08/07/2001.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance:
[ ]" FinalApproval: , 1.'
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
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BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00518 Received Date: 8/4/2000
SITE ADDRESS: 4595 EAGLEMOUNT RD
CHIMACUM, 98325
APPLICANT: ANDREW L DRISCOLL PHONE: (360)732-4426
KAREN DRISCOLL
4595 EAGLEMOUNT RD
CHIMACUM WA 98325
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 801044002 Section: 04 Township: 28 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 WATER HEATER
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION ADD'L: HEAT TYPE:
CODE EDITION:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: 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: Receipt: Hat dttions
p : pp Conditions
Propane Tanks/Stoves $48.00 MAM 08/04/00 32288
Total: $48.00
\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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Legal Description:
Subdivision Name Block Lot(s)
Section D' 4
Township North, Range WM
APPLICANT c:E PHONE 7 3 2 41''24
MAILING ADDRESS /�14/ j""ge�%a(-4 7-
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PROPERTY OWNER [--i/ PHONE
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MAILING ADDRESS (D $S 3 R 1-1-0 Q Q .
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STATE LICENSE # StA ti s}(-p& O7 7 Q P EXP. DATE 11 f DC
FEDERAL I.D. # 9 l- 1 0 41 7 8 S 7
APPLICANT SIGNATURE G�(,l r-c.--- An-, or / ( DATE P / CJ3/ 60
FOR OFFICE USE ONLY BASE FEE �"'f,(0 2 RECEIPT # J ZZ6�
CASH/CK #
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TOTAL et) DATE ‘d__/ DO
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