HomeMy WebLinkAboutBLD2000-00783 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 #: BLD00-00783 Received Date 12/6/2000
SITE ADDRESS: 1620 E MARROWSTONE RD Issue Date 12/7/2000
NORDLAND, 98358 Expiration Date 12/7/2001
APPLICANT: THE SEVERIN GROUP PHONE: (360)344-4167
CLAUD WISOR
154 SHAWNE
SEQUIM WA 98382 T 39
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 921042029 Section: 4 Township: 29N Range: 01E
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2001
OWNER, THE SEVERIN GROUP PHONE: (360)344-4167
if different: CLAUD WISOR
154 SHAWNE
SEQUIM WA 98382
PROJECT DESCRIPTION PROPANE TANK, GAS PIPE & STOVE INSTALLATION `C c i 7oP
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 12/07/2001.
REQUIRED INSPECTIONS:
[ ] Tank/Lin/Appliance} n/(
[ ] FinalApproval: — a
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 #: BLD00-00783 Received Date: 12/6/2000
SITE ADDRESS: 1620 E MARROWSTONE RD
NORDLAND, 98358
APPLICANT: THE SEVERIN GROUP PHONE: (360)344-4167
CLAUD WISOR
154 SHAWNE
SEQUIM WA 98382
SUBDIVISION: Block: Lot: T 39
PARCEL NUMBER: 921042029 Section: 4 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 11/17/2001
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: PROPANE TANK, GAS PIPE & 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: 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
Routing Date: F&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
'Pr xlmltyy - Plat Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 12/06/00 35621
Total: $48.00
is\F_BLD_App_Bld.rpt 10/29/99
�`tii -\ ••3EFFERSONt fart-, CENTER, 621 SHERIDAN $T, PORT TOWNSEND WA 98368 PH: (3601 379-4450
INSTALLATION PERMIT APPLICATION
L DEC - 6 2000/
WOODSTOVE / PROPANE TANK PELLET STOVE N./OTHER f cc iy<,U
ISjTE ADDRESS: _ b
J9 t#!ROAD NAME d ,
I"rp cJ �rr/�-c.
Ai v /O t- a LJ/9' ZIP ‘a-3 67
9 DIGIT PARCEL ID NUMBER q i - Q I"( o /- 002-9
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT Od +(/ SOP-- 6-5se ve 2/ 1
/ PHONE
MAILING ADDRESS /544 Shaw
SEDtsrr, / G)f- ZIP qc'.,' PL
PROPERTY OWNER al/Ia./A-C`tya PHONE 37 i - "/ •7
MAILING ADDRESS c/
ZIP
CONTRACTOR SUN') S H I n Q. P 20 9 _ PHONE 3 85-- 6717
MAILING ADDRESS (0 g 5 3 R.14-0 0 t, 0 2
Po r'T (J-,,+rp L.G c,.t C Lae. . ZIP 3
STATE LICENSE # SLd VI S f P 07 7 Q P EXP. DATE I 1 ! O,/
FEDERAL I.D. # 91_ 10 ci -7 8 S7
APPLICANT SIGNATURE ..64.4---c.—
'lJcfl` ' 01,- l DATE a--- l I / 0 0
1 c� FOR OFFICE USE ONLY
BASE FEE `'t U RECEIPT # 3562-2_ I
CASH/CK # 13 i 1
TOTAL Lid
DATE I2/ (o / ,C)
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