HomeMy WebLinkAboutBLD2000-00792 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 #: BLD00-00792 Received Date 12/11/2000
SITE ADDRESS: 62 FAIRWIND CT Issue Date 12/12/2000
PORT LUDLOW, 98365 Expiration Date 12/12/2001
APPLICANT: GLENN GWYNN PHONE: (360)437-4033
62 FAIRWIND CT
PORT LUDLOW WA 98365
5
SUBDIVISION: LUDLOW POINT VILLAGE DIV 1 Block: Lot:
PARCEL NUMBER: 969400005 Section: 16 Township: 28N 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, GLENN GWYNN PHONE: (360)437-4033
if different: 62 FAIRWIND CT
PORT LUDLOW WA 98365
PROJECT DESCRIPTION PROPANE TANK, GAS 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 12/12/2001.
REQUIRED INSPECTIONS:
[ an�cTCine/Appliance: �� // 19/
[ pr O� FJ /-/?t 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 #: BLD00-00792 Received Date: 12/11/2000
SITE ADDRESS: 62 FAIRWIND CT
PORT LUDLOW, 98365
APPLICANT: GLENN GWYNN PHONE: (360)437-4033
62 FAIRWIND CT
PORT LUDLOW WA 98365
SUBDIVISION: LUDLOW POINT VILLAGE DIV 1 Block: Lot: 5
PARCEL NUMBER: 969400005 Section: 16 Township: 28 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 & 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
1-'rQxlmlty - Hat Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 12/11/00 35537
Total: $48.00
is\F_BLD_App_Bld.rpt 10/29/99
\21y1 JEF RSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK PELLET STOVE /OTHER
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SITE ADDRESS: Y
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9 DIGIT PARCEL ID NUMBER 00
Legal Description:
Subdivision Name
Block Lot(s)
Section Township North, Range WM
APPLICANTsj'ejj
PHONEa33
MAILING ADDRESS
ZIP
PROPERTY OWNER n //C
/! PHONE
MAILING ADDRESS
ZIP
CONTRACTOR SILV) S H IY1 C. P20(> _
PHONE 3 8S- 6-79 T
MAILING ADDRESS (D Z S 3 RIB 0 0 2 .
Po,rT- 14•61.0 L D `}A . -
STATE LICENSE # SL�NSEI Ae777QP
EXP. DATE I I 1�I
FEDERAL I.D. # 91- IOa78s-7
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APPLICANT SIGNATURE _ —� ,4 0-% DATE / / 0
FOR OFFICE USE ONLY
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BASE FEE
RECEIPT#
35S37
CASH/CK # 7 3 aa,
TOTAL DATE 1 Z/ /I /0°
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