HomeMy WebLinkAboutBLD2000-00791 \
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 #: BLD00-00791 Received Date 12/11/2000
SITE ADDRESS: PENNY CREEK RD Issue Date 12/22/2000
QUILCENE, 98376 Expiration Date 12/22/2001
APPLICANT: CITY OF PORT TOWNSEND PHONE:
WATERMAN-KATZ BUILDING
181 QUINCY ST STE 101
PORT TOWNSEND WA 983685762
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 802091000 Section: 9 Township: 28N Range: 02W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2001
OWNER, CITY OF PORT TOWNSEND PHONE:
if different: WATERMAN-KATZ BUILDING
181 QUINCY ST STE 101
PORT TOWNSEND WA 983685762
PROJECT DESCRIPTION GAS 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 12/22/2001.
REQUIRED INSPECTIONS:
Tank/Line/Appliance 1ik: //0'// f, 7 --Lc
1`�.
i1/411./ . .," i 4,...6.( c.....„ 4...._ 7
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 #: BLD00-00791 Received Date: 12/11/2000
SITE ADDRESS: PENNY CREEK RD
QUILCENE, 98376
APPLICANT: CITY OF PORT TOWNSEND PHONE:
WATERMAN-KATZ BUILDING
181 QUINCY ST STE 101
PORT TOWNSEND WA 983685762
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 802091000 Section: 9 Township: 28 N Range: 02 W
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: GAS HEAT STOVE INSTALLATION
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION ADD'L: HEAT TYPE:
CODE EDITION: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: 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
—Proximity - Plat Coad tions
Type Amount Paid By: Date: Receipt: Approved/pate
Propane Tanks/Stoves $48.00 MAM 12/11/00 35337
Total: $48.00
is\F_B LD_App_Bld.rpt 10/29/99
JEFFERSON UNTY PERMIT CENTER 1 I A T PORT T WN END WA 8368 PH: 36 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK PELLET STOVE )/
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SITE ADDRESS: A�
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9 DIGIT PARCEL ID NUMBER 0 Z Q / b 9
Legal Description:
Subdivision Name
Block Lot(s)
Section Township North, Range WM
APPLICANT et. h eo W 0 42-r- 1 (LL
PHONE
MAILING ADDRESS P O Qp ' 3(7 y
JY1 ZIP / �36Ci
PROPERTY OWNER C a,„ %
MAILING ADDRESS ( el Q z t
Pcsy► l UcJ h s•24,L40
CONTRACTOR Sun S H I n d PR-OP A#v 4
PHONE 3 8,S-' 579 7
MAILING ADDRESS (0 $S 3 R i+0 0
02 .
Po rr N 4o La c.1 c c,,?c. .
ZIP 5 r 33
STATE LICENSE # _S j ' A sa z k A
EXP. DATE FEDERAL I.D. # 9 l- 1 0 g 7 8 s'y
APPLICANT SIGNATURE
DATE 0-- / � /
FOR OFFICE USE ONLY
BASE FEE
RECEIPT # S�
CASH/CK # jasa_
TOTAL
DATE 1 / t)p
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