HomeMy WebLinkAboutBLD2000-00740 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 #: BLD00-00740 Received Date 11/15/2000
SITE ADDRESS: 114 OAK SHORE DR Issue Date 11/16/2000
PORT TOWNSEND, 98368 Expiration Date 11/16/2001
APPLICANT: AG DAULTON PHONE: (360)344-3691
MONTA DAULTON
114 OAK SHORE DR
PORT TOWNSEND WA 98368 350
SUBDIVISION: KALA POINT#5 Block: Lot:
PARCEL NUMBER: 965000173 Section: 27 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, AG DAULTON PHONE: (360)344-3691
if different: MONTA DAULTON
114 OAK SHORE DR
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION PROPANE TANK, PIPE & 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 11/16/2001.
REQUIRED INSPECTIONS:
[ ]• Tank/Line/Appli : - —
[ ] FinalAp al: /� L - /
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 #: BLD00-00740 Received Date: 11/15/2000
SITE ADDRESS: 114 OAK SHORE DR
PORT TOWNSEND, 98368
APPLICANT: AG DAULTON PHONE: (360)344-3691
MONTA DAULTON
114 OAK SHORE DR
PORT TOWNSEND WA 98368
SUBDIVISION: KALA POINT#5 Block: Lot: 350
PARCEL NUMBER: 965000173 Section: 27 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, PIPE & 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:
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
—h'rQximlt - Fiat C; d dons
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 11/15/00 35475
Total: $48.00
is\F_BLD_App_Bld.rpt 10/29/99
A,FERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
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SITE ADDRESS:
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Legal Description:
Subdivision Name Block
Lot(s)
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STATE LICENSE # SL.t v S If P 0 7 7 Q p EXP. DATE I I OC
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