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HomeMy WebLinkAboutBLD2000-00808 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 #: BLD00-00808 Received Date 12/18/2000 SITE ADDRESS: 1601 LINGER LONGER RD Issue Date 12/18/2000 QUILCENE, 98376 Expiration Date 12/18/2001 APPLICANT: COAST SEAFOODS CO PHONE: 765-3345 PO BOX 327 QUILCENE WA 98376 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702254007 Section: 25 Township: 27N Range: 02W CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420 PO BOX 1031 PORT TOWNSEND WA 98368 Contractor's License PETTI00088CC Expires 05/01/2002 OWNER, if different: PROJECT DESCRIPTION PROPANE TANK 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 12/18/2001. REQUIRED INSPECTIONS: [ ] 0/Line/Appliance: (2.4-01 [ 7 Fi na lAp proval: T'I#N 1( O L-C 12,-t,-o BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY is\F_BLD_Permit_Propane.rpt 10/29/19 I BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00808 Received Date: 12/18/2000 SITE ADDRESS: 1601 LINGER LONGER RD QUILCENE, 98376 APPLICANT: COAST SEAFOODS CO PHONE: 765-3345 PO BOX 327 QUILCENE WA 98376 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702254007 Section: 25 Township: 27 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 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: PROPANE TANK INSTALLATION TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 1.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 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 - hlat C;onctttions Type Amount Paid By: Date: eceipt: Approved/Date Propane Tanks/Stoves $46.00 PRB 12/15/00 35591 Total: $46.00 is\F_BLD_App_Bld.rpt 10/29/19 1 ` `° JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (3601 379-4450 INSTALLATION PERMIT APPLICATION WOODSTOVE PROPANE TANK PELLET STOVE OTHER SITE ADDRESS: 911#/ROAD NAME /7# /' 64.4./ .�' á7'11 ,, ,�r c, et"—lte s`"41 ZIP '.___ _1i3176 9 DIGIT PARCEL ID NUMBER ( 3C,/ ©2 Legal Description: -7oZ 2 -V- CC Subdivision Name Block Lot(s) Section Township North, Range WM APPLICANT (r PHONE , a - r7 75--- ccc / MAILING ADDRESS efi Zj `j,? 7 4,`'&( 7,(40 / ZIP ff3 70 PROPERTY OWNER PHONE MAILING ADDRESS ZIP i CONTRACTOR //��7�LL��T%d' �� /L�'� PHONE MAILING ADDRESS d, -.�/ ( "e-E,1 A44r ZIP /41J66 STATE LICENSE # -2, %J,�. Oe, eodjy e- EXP. DATE ..../, 6'/ 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. -( 'G -r APPLICANT SIGNATURE gg/-let4'‘(-___ DATE f� / /s / fit' FOR OFFICE USE ONLY BASE FEE LIG - RECEIPT# 5SSr?1 CASH/CK# e�"��'f TOTAL 1-j'10 -- DATE t 2-t-I 5700 H:\HOME\PLNCNTR\FORMS\INSTALL.DOC 10/99 ,/o o,0w1P4lraz5