HomeMy WebLinkAboutBLD2000-00732 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 #: BLD00-00732 Received Date 11/13/2000
SITE ADDRESS: 110 MAGNOLIA AVE Issue Date 11/13/2000
PORT TOWNSEND, 98368 Expiration Date 11/13/2001
APPLICANT: ROGER DEJARNETTE PHONE:
PO BOX 498
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001182012 Section: 18 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 AND 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 11/13/2001.
REQUIRED INSPECTIONS:
[ Tank/ i /Appliance: /' ' c D
[ ] FinalApproval: /('`')_ ' /—r /'
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 #: BLD00-00732 Received Date: 11/13/2000
SITE ADDRESS: 110 MAGNOLIA AVE
PORT TOWNSEND, 98368
APPLICANT: ROGER DEJARNETTE PHONE:
PO BOX 498
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001182012 Section: 18 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 AND STOVE
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:
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
Routing Date: F&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
—Proximity - Plat G ditions
Type Amount Paid By: Date: Receipt: ApproveiRate
Propane Tanks/Stoves $48.00 PRB 11/13/00 35462
Total: $48.00
is\F_BLD_App_Bld.rpt 10/29/99
JEFFERSON COUNTY PERMIT CENTER. 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE G/ PROPANE TANK PELLET STOVE OTHER
/17 /0 Va-41/411 4
SITE ADDRESS:
911#/ROAD NAME I/O 1 _ /7o L(
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ZIP
9 DIGIT PARCEL ID NUMBER 0 Q I / ,Z C2/ )---
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT t) 5 gE Oe 4•1/2 PHONE
MAILING
ADDRESS
ZIP
PROPERTY OWNER _ � /" c PHONEjd5-, D/7y
MAILING ADDRESS
ZIP
CONTRACTOR Suvl s I- Ill e P2-O P A04._ PHONE a as-- ,5717
MAILING ADDRESS (0 $S 3 !4-0 aj 0 2 .
Pori- t L o (.4c L) . ZIP 5 3
STATE LICENSE # St-1 V1 s t+p O7 7 Q P EXP. DATE 1 I /OC)
FEDERAL I.D. # 9 l- 1 o g 7 8 S 7
APPLICANT SIGNATURE `tlC.r c� ,Dco-N � DATE k / /
FOR OFFICE USE ONLY
BASE FEE , `
RECEIPT #
CASH/CK # 730 O
TOTAL U DATE ZZ/J3/0 O
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