HomeMy WebLinkAboutBLD2000-00563 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 #: BLD00-00563 Received Date 8/29/2000
SITE ADDRESS: 12 MEDITERRANEAN AVE Issue Date 8/31/2000
PORT TOWNSEND, 98368 Expiration Date 8/31/2001
APPLICANT: JOHN S PALMIERI PHONE: (360)385-7432
12 MEDITERRANIAN
PORT TOWNSEND WA 98368
4
SUBDIVISION: IRVING PARK ADDITION Block: 35 Lot:
PARCEL NUMBER: 963303501 Section: 17 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, JOHN S PALMIERI PHONE: (360)385-7432
if different: 12 MEDITERRANIAN
PORT TOWNSEND WA 98368
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 08/31/2001.
REQUIRED INSPECTIONS:
[ 1 Tank/Lin /Appliance:
[ [ Fi na lApproval: /' 1 / O 0
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 #: BLD00-00563 Received Date: 8/29/2000
SITE ADDRESS: 12 MEDITERRANEAN AVE
PORT TOWNSEND, 98368
APPLICANT: JOHN S PALMIERI PHONE: (360)385-7432
12 MEDITERRANIAN
PORT TOWNSEND WA 98368
SUBDIVISION: IRVING PARK ADDITION Block: 35 Lot: 4
PARCEL NUMBER: 963303501 Section: 17 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: 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
—Proximity - Hat Conditions —
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 08/29/00 34164
Total: $48.00
is\F_BLD_App_Bld.rpt 10/29/99
563
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK PELLET STOVE OTHER
SITE ADDRESS:
911#/ROAD NAME 0.4r ,
1 ' - lock) n5- ZIP
9 DIGIT PARCEL ID NUMBER -/ p,3 3 03 JC7/
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT (3. J-11 0/1 Pal irn 1 e (Z( PHONE
MAILING ADDRESS SC kr/. €-$ St r-e.
ZIP
PROPERTY OWNER (5A-0-e A 4-Op//( /h- PHONE 3s3- 7i 3 —
MAILING ADDRESS
ZIP
CONTRACTOR Sun S H I n Q P+20 P _ PHONE 3 8Sr' 3717
MAILING ADDRESS i 0 e 5 3 RN-o 0(Z .
Po,r r t Lo u c. Lae% • ZIP 5cr 3 3 `l
STATE LICENSE # S.l V(S 1{-P O 7 7 Q P EXP. DATE l I / OC?
FEDERAL I.D. # `�I- t o ct 7 8 s'7
•
APPLICANT SIGNATURE CC-ll r c. ,0n-, ov- / ( DATE
FOR OFFICE USE ONLY
BASE FEE RECEIPT # t t(to"I
CASH/CK # 4
TOTAL Li DATE
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