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HomeMy WebLinkAboutBLD2000-00545 , 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 #: BLD00-00545 Received Date 8/18/2000 SITE ADDRESS: 60 NANTUCKET PL Issue Date 8/21/2000 PORT TOWNSEND, 98368 Expiration Date 8/21/2001 APPLICANT: HAROLD KIEL PHONE: (360)385-2475 60 NANTUCKET PLACE PORT TOWNSEND WA 98368 163 SUBDIVISION: KALA POINT#3 Block: Lot: PARCEL NUMBER: 965000021 Section: 27 Township: 30N Range: 01W CONTRACTOR: FERRELLGAS PHONE: 1-888-933-7735 PO BOX 67 HOODSPORT WA 98548 Contractor's License FERRELPO55LH Expires 07/31/2001 OWNER, HAROLD KIEL PHONE: (360)385-2475 if different: 60 NANTUCKET PLACE PORT TOWNSEND WA 98368 PROJECT DESCRIPTION PROPANE TANK, PIPE & GAS FIREPLACE 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 08/21/2001 REQUIRED INSPECTIONS: [ ] Tank/Line/Appliance: DA(,-L G-� FinalApproval: c.1 /G C 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 #: BLD00-00545 Received Date: 8/18/2000 SITE ADDRESS: 60 NANTUCKET PL PORT TOWNSEND, 98368 APPLICANT: HAROLD KIEL PHONE: (360)385-2475 60 NANTUCKET PLACE PORT TOWNSEND WA 98368 SUBDIVISION: KALA POINT#3 Block: Lot: 163 PARCEL NUMBER: 965000021 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: FERRELLGAS PHONE: 1 888-933 7735 PO BOX 67 HOODSPORT WA 98548 Contractor's License FERRELPO55LH Expires 08/01/2000 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: PROPANE TANK, PIPE & GAS FIREPLACE 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 'Pr xlmity - Hat c.;orlditions Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $48.00 MAM 08/18/00 34104 Total: $48.00 is\F_BLD_App_Bld.rpt 10/29/99 NOV-17-1999 12:23 JEFF CO PERMIT CENTER 360 379 4451 P.01 AEEEEBBOLCMU=AdhalkiaLlapalgebala.V1 SHERIDAN ST.PORT TOWNSEND WA 98368 PH! 1380i 379.4450 INSTALLATION PERMIT APPLICATION S•Tf c k 6 of Lr WOODSTOVE PROPANE TANK PELLET STOVE OTHER d- G /i-f F i��7 4�,e SITE ADDRESS: / r 911 NROAD NAME v,(�0 /�i�F. '/�'i 4 K 1— PL a.c E 6C A-`�1- P r ra (Li' T o vr-,ai ss.. d/l viLzip ff 3 6/ 9 DIGIT PARCEL ID NUMBER A 3 "/63 % q6 S ^- 0, 0© .- 0..Z Legal Description: Subdivision Name c-_ Block Lot(*) Section Township North, Range WM APPLICANT EI lC i r- L G/ISM PHONE 3 of '-6 it, MAIUNG ADDRESS .2 /0 3 S/✓i S' J4 Ay. j /� �y ,p eo . S' •7-v w.t s 14'4- e ZIP 4d��► /1 j.V/5 • PROPERTY OWNER j:/eLA oL i kl L' L PHONE 34P5--,1-y,7- MAILING ADDRESS OEM /V/r✓r-v 4 k .l— /9/4-c.= et g..r '7`©iwAfS.iv d ! i..,,,A - ZIP Ye-11: ‘, CONTRACTOR F.eCLge Lt 6'4—r PHONE 3'f— GP P/ MAILING ADDRESS A-I Of S/' £ 11,-/-9) T STATE UCENSE if 6 6 C S - -s-kl EXP.DATE 9 —3 / d d G FEDERAL I.D.it ¢EGL- P? FL fo SS L /4 By signing the epprieasian form,the applcartt/ownerr attests that the information provided herein is true and correct to the best of their knowledge. Any materiel 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 es 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. ACCebs and right of entry to the applicant's property or structure shell be requested and ahSU occur during regWar business hours. /Z ' APPLICANT SIGNATURE <7Z;;' DATE S / // / 0 t0 .. ._.:.F .,ti.,If4:.,y .at l,y,n: .,r..,;.. .c :::'::;;.e .,'•k.,:r.'•5'.'• ',:i ..,;.. 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