HomeMy WebLinkAboutBLD2000-00733 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 #: BLD00-00733 Received Date 11/13/2000
SITE ADDRESS: 151 N BEACH DR Issue Date 11/13/2000
PORT LUDLOW, 98365 Expiration Date 11/13/2001
APPLICANT: JON K FROULA PHONE: 437-2416
151 N BEACH DR
PORT LUDLOW WA 98365
27
SUBDIVISION: BRIDGEHAVEN DIV 7 Block: 7 Lot:
PARCEL NUMBER: 935700026 Section: 16 Township: 27N Range: 01E
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
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:
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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 #: BLD00-00733 Received Date: 11/13/2000
SITE ADDRESS: 151 N BEACH DR
PORT LUDLOW, 98365
APPLICANT: JON K FROULA PHONE: 437-2416
151 N BEACH DR
PORT LUDLOW WA 98365
SUBDIVISION: BRIDGEHAVEN DIV 7 Block: 7 Lot: 27
PARCEL NUMBER: 935700026 Section: 16 Township: 27 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
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION:
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
F&W Landslide
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
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Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 PRB 11/13/00 35463
Total: $48.00
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JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE LiROPANE TANK PELLET STOVE OTHER
SITE ADDRESS:
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9 DIGIT PARCEL ID NUMBER 1✓' 700 0 Z.G
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
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PHONE
MAILING ADDRESS 15
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STATE LICENSE # SLd Vl s +p i(O 7 7 Q e EXP. DATE 11 (OC?
FEDERAL I.D. # 91- 10 ct '7 8.c7
APPLICANT SIGNATURE ,0e),
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BASE FEE '% �(J Cl 3
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TOTAL DATE i( //3/
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