HomeMy WebLinkAboutBLD2000-00798 •
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BUILDING 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 #: BLD00-00798 Received Date 12/11/2000
SITE ADDRESS: 2724 CENTER RD Issue Date 12/12/2000
CHIMACUM, 98325 Expiration Date 12/12/2001
APPLICANT: MALCOLM OTTAWAY PHONE: (360)732-7574
2724 CENTER RD
CHIMACUM WA 98325
SUBDIVISION: Block: Lot: T 8
PARCEL NUMBER: 901263010 Section: 26 Township: 29 N Range: 01 W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License: SUNSHP*077QP Expires: 11/17/2001
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION PROPANE TANK, GAS PIPE & HEAT STOVE
REQUIRED INSPECTIONS:
[ ] Footings/Setbacks (Shoreline Setbacks):
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ J raming/Plumbing:
[ �ropane Tank/Lines: S'tok),r `C i -i )c o<< 1)-o, It\roue.{4
[ ] Insulation:
[ ] Sheetrock:
[ '] Final/Occupancy Approval: (7KC l -o
HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION.
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
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 #: BLD00-00798 Received Date: 12/11/2000
SITE ADDRESS: 2724 CENTER RD
CHIMACUM, 98325
APPLICANT: MALCOLM OTTAWAY PHONE: (360)732-7574
2724 CENTER RD
CHIMACUM WA 98325
SUBDIVISION: Block: Lot: T 8
PARCEL NUMBER: 901263010 Section: 26 Township: 29 N Range: 01 W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2001
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: PROPANE TANK, GAS PIPE & HEAT STOVE
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
1-'r xlmlty - Hat G dltlons
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
1e0_r ,Jtf-iERSON COUNTY PERMIT CENTER. 621 S fiERIDAN ST,'PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
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Legal Description:
Subdivision Name
Block Lot(s)_
Section Township North, Range WM
APPLICANT ► (4-Le.0 LIM d fire w 0,
PHONE
MAILING ADDRESS L /
ZIP
PROPERTY OWNERc --
PHONE
MAILING ADDRESS
ZIP
CONTRACTOR SU.fl S H I Y1 P2O(>
PHONE 3 8,5-' 379 T
MAILING ADDRESS 10 $5 3 02 .
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ZIP 5 e 33 et
STATE LICENSE it —akV1 S If-P 07 7 Q P
EXP. DATE l I D�1 FEDERAL I.D. # 91- ►0 q 8 S 7
APPLICANT SIGNATURE G�(u--� cn-‘ .
DATE '_ / /
FOR OFFICE USE ONLY
BASE FEE
RECEIPT # 7
v0 CASH/CK #
TOTAL
DATE /Z/f/ / 04)
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