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HomeMy WebLinkAboutBLD2000-00820 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 #: BLD00-00820 Received Date 12/22/2000 SITE ADDRESS: 435 COLMAN DR Issue Date 12/22/2000 PORT TOWNSEND, 98368 Expiration Date 12/22/2001 APPLICANT: WALTER E BURROWS TRUSTE PHONE: LINDA M BURROWS TRUSTEE 435 COLMAN DR PORT TOWNSEND WA 983689476 54 SUBDIVISION: CAPE GEORGE COLONY DIV 7 Block: 14 Lot: PARCEL NUMBER: 939601453 Section: 13 Township: 30N Range: 02W CONTRACTOR: OWNER, WALTER E BURROWS TRUSTE PHONE: if different: LINDA M BURROWS TRUSTEE 435 COLMAN DR PORT TOWNSEND WA 983689476 PROJECT DESCRIPTION ' ',Q ('/9fV'E 7 9N K. 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: [�---- Tan Line/Appliance: re /2,/�,',/ , /, [q- nalApprovaI: Qh /2. t/9/ ,�-�! a BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 900 -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 #: BLD00-00820 Received Date: 12/22/2000 SITE ADDRESS: 435 COLMAN DR PORT TOWNSEND, 98368 APPLICANT: WALTER E BURROWS TRUSTE PHONE: LINDA M BURROWS TRUSTEE 435 COLMAN DR PORT TOWNSEND WA 983689476 SUBDIVISION: CAPE GEORGE COLONY DIV 7 Block: 14 Lot: 54 PARCEL NUMBER: 939601453 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: PHONE: PHONE: ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: PRO F7R l\I j 1 Al IC TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION MAIN: CODE EDITION: 1997 ADD'L: HEAT TYPE: PRO OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: 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 A e��dons Type Amount Paid By: Date: Receipt: ppro ate Propane Tanks/Stoves $46.00 PRB 12/22/00 35600 Total: $46.00 is\F_BLD_App_Bld.rpt 10/29/19 JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450 INSTALLATION PERMIT APPLICATION WOODSTOVE >4-PROPANE TANK PELLET STOVE OTHER SITE ADDRESS:911#/ROAD NAME CCD ��AA �,,�� -M`s«`-'� P 2 • Q ZIP '�'/ ?56 j. 9 DIGIT PARCEL ID NUMBER l' & c! T J t Legal Description: Subdivision Name Block Lotls) Section Township North, Range ( j WM APPLICANT f� PHONE 7 ^—`/—C/ , 15 S� MAILING ADDRESS L ,ASnQ-I oy D�„ (4--( vvl r7`-„i � w A ZIP PROPERTY OWNER Wi6trC62. 20046w5 PHONE �79'— 34, MAILING ADDRESS (b��Jiq D e GGG 7 7- W ZIP -CONTRACTOR CQi Wj PHONE MAILING ADDRESS ZIP STATE LICENSE # EXP. DATE 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. APPLICANT SIGNATURE DATE ` Z t 00 FOR OFFICE USE ONLY BASE FEE 4 G© RECEIPT# 3 J �/y��0 CO K # // TOTAL DATE . /2-2t- ©O H:\HOME\PLNCNTR\FORMS\INSTALL.DOC 10/99