HomeMy WebLinkAboutBLD2000-00745 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 #: BLD00-00745 Received Date 11/20/2000
SITE ADDRESS: 241 DENNIS BLVD Issue Date 11/20/2000
PORT TOWNSEND, 98368 Expiration Date 11/20/2001
APPLICANT: MARK BEST PHONE:
241 DENNIS BLVD
PORT TOWNSEND WA 98368
34
SUBDIVISION: CAPE GEORGE VILLAGE DIV 3 Block: Lot:
PARCEL NUMBER: 940500033 Section: 13 Township: 30N Range: 02W
CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420
PO BOX 1031
PORT TOWNSEND WA 98368
Contractor's License PETTIOCO88CC Expires 05/01/2001
OWNER,
if different:
PROJECT DESCRIPTION PROPANE TANK AND 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 11/20/2001.
REQUIRED INSPECTIONS:
[ ] T fne/A pliance: jjZ%3'/CTAP') ?o ?Sp,-r-ax. 17 PSi cDr.c . 11-30- o6
[4/. FinalApproval: o K -pawl( LANE this ��e+ r�. C at
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
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BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00745 Received Date: 11/20/2000
SITE ADDRESS: 241 DENNIS BLVD
PORT TOWNSEND, 98368
APPLICANT: MARK BEST PHONE:
241 DENNIS BLVD
PORT TOWNSEND WA 98368
SUBDIVISION: CAPE GEORGE VILLAGE DIV 3 Block: Lot: 34
PARCEL NUMBER: 940500033 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420
PO BOX 1031
PORT TOWNSEND WA 98368
Contractor's License PETTIOCO88CC Expires 05/01/2001
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: PROPANE TANK AND 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:
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
Type Amount Paid By: Date: —Proximity - Flat Conditions _
yp Receipt: ApprovedR ate
Propane Tanks/Stoves $48.00 ZAN 11/20/00 35441
Total: $48.00
is\F_BLD_App_Bld.rpt 10/29/99
JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIC3AN ST. PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE //PROPANE TANK PELLET STOVE /OTHER -d-eaf
SITE ADDRESS: 2-4 , V\`S 7g) ` ) �i
9'11#/ROAD NAME `� ./� !�, ,1 1 �/(,1
f�Y V WAS ZIP
9 DIGIT PARCEL ID NUMBER q Lt 0 5 Do 0 3
Legal Description:
Subdivision Name Block Lotlsl
Section Township North, Range WM
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APPLICANT 2 +—DC 0!5 I�i icy`. PHONE 3 S"_�2 7 53
MAILING ADDRESS (i r'T J V LiL)r' �f W P1 (�
ZIP ) 6$)
PROPERTY OWNER PHONE
MAILING ADDRESS
ZIP
CONTRACTOR Pe,+11- ®ri t CD PHONE 38 / —f 20
MAILING ADDRESS 2-3 Se40(1 Roctioe
�D ✓'� !c7(i Yl s 1*J ZIP `78 365
STATE LICENSE # EXP. DATE
FEDERAL I.D. #
By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material
falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void.
I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments, court costs, reasonable attorney's fees and expenses which
may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson County and it's employees, representatives or agents for the purpose of application review and any
required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours.
APPLICANT SIGNATURE DATE 11 / 2O / 0 0
FOR OFFICE USE ONLY '`
BASE FEE ziU + °- RECEIPT# 394 4
CASH/CK# 31g
TOTAL 5U r DATE a /20/
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