HomeMy WebLinkAboutBLD2000-00813 A `
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 #: BLD00-00813 Received Date 12/18/2000
SITE ADDRESS: 450 LONE STAR RD Issue Date 12/20/2000
QUILCENE, 98376 Expiration Date 12/20/2001
APPLICANT: JOSEPH MC CONE PHONE: (360)765-3698
NICKIE MC CONE
450 LONESTAR RD
QUILCENE WA 98376
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 701054006 Section: 5 Township: 27N Range: 01W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2001
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 12/20/2001.
REQUIRED INSPECTIONS:
Tank/Line/Appliance:C / „` A.'
[tJ% FinalApproval: / -' / /`/LE` ySL
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 #: BLD00-00813 Received Date: 12/18/2000
SITE ADDRESS: 450 LONE STAR RD
QUILCENE, 98376
APPLICANT: JOSEPH MC CONE PHONE: (360)765-3698
NICKIE MC CONE
450 LONESTAR RD
QUILCENE WA 98376
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 701054006 Section: 5 Township: 27 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 INSTALLATION
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION MAIN:
CODE EDITION: 1997 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 ximityy - Nlat Uouditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 12/18/00 37105
Total: $48.00
is\F_BLD_App_Bld.rpt 10/29/19
JEFFERSON COUNTY PERMIT CENTER, 621 SIIERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE V PROPANE TANK PELLET STOVE
OTHER
SITE ADDRESS:
911#/ROAD NAME 50 4-011 PS7 a-�
1.1.1L(' e4 ZIP 1gJ 7‘.
9 DIGIT PARCEL ID NUMBER 761 0 5q Q p G
Legal Description:
Subdivision Name
Block Lot(s)
Section Township North, Range WM
APPLICANT (*el k_ 3 A)/ G/-ice, �� / PHONE 76 S -36 4
MAILING ADDRESS
ZIP
PROPERTY OWNER Cir; 1 .1- -C --
PHONE /
MAILING ADDRESS
ZIP
CONTRACTOR SU.nSH InQ. P2opA-rest_
PHONE 3 8,5-- s79 7
MAILING ADDRESS 10 $S 3 o 02 .
Poer N-Aho Lo L1G. L e. . ZIP J 331
STATE LICENSE # Su I s I-plc. O7 7 Q P
EXP. DATE I I Oj
FEDERAL I.D. # 9,- !Cs q 7 F}S'7
APPLICANT SIGNATURE DATE / / O d
•
FOR OFFICE USE ONLY
BASE FEE RECEIPT # 77
d_S---
CASH/CK # 7,3 8
TOTAL � Q°
DATE /�/lra)
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