HomeMy WebLinkAboutBLD2000-00565 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 #: BLD00-00565 Received Date 8/29/2000
SITE ADDRESS: 90 PROSPECT ST Issue Date 8/31/2000
PORT LUDLOW, 98365 Expiration Date 8/31/2001
APPLICANT: MELISSA K MUIR PHONE:
MEGAN/RONALD J MUIR
726 N 94TH ST#A
SEATTLE WA 98103
SUBDIVISION: MATS MATS BEACH Block: Lot:
PARCEL NUMBER: 970800510 Section: 33 Township: 29N Range: 01 E
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2000
OWNER, MELISSA K MUIR PHONE:
if different: MEGAN/RONALD J MUIR
726 N 94TH ST#A
SEATTLE WA 98103
PROJECT DESCRIPTION PROPANE TANK& GAS STOVE
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:
[ ' AI' .ne ' ppliance• ,O/C / /zc c,e, ei2,1-2f
inalApproval: ,? i ,,.Eli. -._ " /41P_
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 #: BLD00-00565 Received Date: 8/29/2000
SITE ADDRESS: 90 PROSPECT ST
PORT LUDLOW, 98365
APPLICANT: MELISSA K MUIR PHONE:
MEGAN/RONALD J MUIR
726 N 94TH ST#A
SEATTLE WA 98103
SUBDIVISION: MATS MATS BEACH Block: Lot:
PARCEL NUMBER: 970800510 Section: 33 Township: 29 N Range: 01 E
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 STOVE
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
1-'r ximity - Plat 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
JLFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE J� PROPANE TANK PELLET STOVE YOTHER
SITE ADDRESS: / � 3)
911#/ROAD NAMErP e- "
P r. l- G o ...)' J�r. . ZIP 9e3 6 J
9 DIGIT PARCEL ID NUMBER q'7 o 3'Oo c j 0
Legal Description:
Subdivision Name Block Lot(s)
Section,✓ �'
Township North, Range '�� ����
APPLICANT �� rh�1,
PHONE qa 7 3 y.5�. 6/ c/7
MAILING ADDRESS szio6 6' /i NR P
igYt•dt.Jr e,14z. / 7 1 1-. ZIP % S /C
PROPERTY OWNER d a.¢. re PHONE
MAILING ADDRESS
ZIP
CONTRACTOR Suva s H in e. P P A Q_ PHONE 3 8,5-' 5717
MAILING ADDRESS ID 8 S 3 QN-0 o j 0 Q .
Pov-1- ti-a0 La uc c,.?c. • e
ZIP 5 33 `l
STATE LICENSE # ScAvistfP14. 077Qe EXP. DATE I I /Oa
FEDERAL I.D. # 91- ID g 7 8 S 7
APPLICANT SIGNATURE a_GC.r-c`-- ,OJ3, ' ay / e DATE S / /
FOR OFFICE USE ONLY
BASE FEE • RECEIPT # 3Lf 1 (at+
CASH/CK # —1'11-1
TOTAL `"1 <6 a- DATE 8 /2q/±20
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