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HomeMy WebLinkAboutBLD2000-00550 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 #: BLD00-00550 Received Date 8/22/2000 SITE ADDRESS: 305 MCCURDY POINT RD Issue Date 8/23/2000 PORT TOWNSEND, 98368 Expiration Date 8/23/2001 APPLICANT: GENE KROTKE PHONE: 653-7375 PO BOX 1950 PORT TOWNSEND WA 98368 1 SUBDIVISION: MIDDLEPOINT LAND CONSERVANCY Block: Lot: PARCEL NUMBER: 101325001 Section: 32 Township: 31N 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 GAS HEAT 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 08/23/2001 REQUIRED INSPECTIONS: [ ] Tank/Line/Appliance: [ ti- FinalApproval: (",'sr� l /s(©/-D 4 :i..,--(fe n4,6—, 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 #: BLD00-00550 Received Date: 8/22/2000 SITE ADDRESS: 305 MCCURDY POINT RD PORT TOWNSEND, 98368 APPLICANT: GENE KROTKE PHONE: 653-7375 PO BOX 1950 PORT TOWNSEND WA 98368 SUBDIVISION: MIDDLEPOINT LAND CONSERVANCY Block: Lot: 1 PARCEL NUMBER: 101325001 Section: 32 Township: 31 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: GAS HEAT 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: 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 Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural 1-'rQxlmlty - F'lat Conditions Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $48.00 MAM 08/22/00 33480 Total: $48.00 is\F_BLD_App_Bld.rpt 10/29/99 "jc.n oo ' 55 JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450 INSTALLATION PERMIT APPLICATION ja-47 £� � . WOODSTOVE PROPANE TANK PELLET STOVE I OTHER SITE ADDRESS: 911#/ROAD NAME Pi—. floc -DLi }'i Ot.,Jr- se_,,, p, 6-1 n . ZIP d',./4 d 9 DIGIT PARCEL ID NUMBER / 0 t (3 l 5 OOP Legal Description: Subdivision Name Block Lot(s) Section Township North, Range WM APPLICANT /107 4. PHONE MAILING ADDRESS /�t--/( - 9 S 1 � �+ 1W /cot, )h 0+�nn( C,)e- , ZIP ! e)k-cf PROPERTY OWNER /4'i )77Gcy- PHONE 3 7?- to r`, MAILING ADDRESS F% ZIP CONTRACTOR St VI S I-1 1 f Q P 2-0 P A-ram_ PHONE 3 85•- 571 7 MAILING ADDRESS I D 17 S 3 R I+0 1\c.t 0 2 . Parr- 1471,0 LDCIC (..)-e• • '" ZIP 5d' 33 `t STATE LICENSE # Si tl s N-A 0 7 7 Q P EXP. DATE LI /DC FEDERALI.D. # 91- IDa78s7 APPLICANT SIGNATURE a,:/4"'A-- ,OJ3-% alr / e DATE d" / a / OD FOR OFFICE USE ONLY BASE FEE 1-(5,2 (jam tE (i (�q 1 RF PT # �j� ltJi (� 1!( (PAS'�/'CK # ?�j 2 TOTAL Eti AUG 2 2 �. I / 22 bo JL1-FLIKSUN CAJUN I Y H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98 DEPT. OF COMMUNITY DEVELOPMENT