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HomeMy WebLinkAboutBLD2000-00534 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 #: BLD00-00534 Received Date 8/14/2000 SITE ADDRESS: 345 N JACOB MILLER RD Issue Date 8/14/2000 PORT TOWNSEND, 98368 Expiration Date 8/14/2001 APPLICANT: PETE HELSELL PHONE 345 N JACOB MILLER RD PORT TOWNSEND WA 98368 T 16 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001051009 Section: 05 Township: 30N 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 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 08/14/2001. REQUIRED INSPECTIONS: [ ] Tank/Line/Appliance: [ ] FinalApproval:f/� ' "f 7" © 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 #: BLD00-00534 Received Date: 8/14/2000 SITE ADDRESS: 345 N JACOB MILLER RD PORT TOWNSEND, 98368 APPLICANT: PETE HELSELL PHONE: 345 N JACOB MILLER RD PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: T 16 PARCEL NUMBER: 001051009 Section: 05 Township: 30 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 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: CONST TYPE: OTHER: GARAGE: SHORELINE CONST TYPE: 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 Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: —Pr ximlt - Plat G d dons Receipt: Approved) ate Propane Tanks/Stoves $48.00 MAM 08/14/00 33516 Total: $48.00 is\F_BLD_App_Bld.rpt 10/29/99 fw T . , JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98060 f .� (3 0)_379-44S0 INSTALLATION PERMIT APPLICATION U(`� y Wi AUG 1 4 '; WOODSTOVE PROPANE TANK PELLET STOVE OTHER - f SITE ADDRESS: JEFFERSON COUNTY { 2 j� ' iy?911#/ROAD NAME �J / VC�d h wet__ (f aF COMMUNITY DEVELOPMENT i- /vwnS e,i-r,c9 , We,__ ZIP 0961 9 DIGIT PARCEL ID NUMBER 0 0 057 - 00 / Legal Description: Subdivision Name Block Lot(s) Section Township North, Range WM APPLICANT Pe34. 7V PHONE la) 5/°Ci9 C MAILING ADDRESS (-ND- - d " 47 /47/ 7--- i Pi-- J.-Ch f -d,i( �� ZIP PROPERTY OWNER p Ga` PHONE MAILING ADDRESS ZIP CONTRACTOR Su.vl S H i n e P2O P iq LQ_ PHONE 3 8 - Sly 7 MAILING ADDRESS (D g S 3 Q N-a 0j 0 Q. . Pori- 3 L) CIC Lae% • e ZIP 5 e 33 ct STATE LICENSE # SL of S H-P o 7 7 Q P EXP. DATE I I /CC FEDERAL I.D. # 9 I- I o Q 7 8 S7 • APPLICANT SIGNATURE w444 `c•-- ,0o, op- / ( DATE____/ // / Ott' FOR OFFICE USE ONLY BASE FEE RECEIPT # 335 I b CASH/CK # 72_7 TOTAL DATE g /1.1 /0 H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98