HomeMy WebLinkAboutBLD2001-00002 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 #: BLD01-00002 Received Date 1/2/2001
SITE ADDRESS: 321 SUNSET BLVD Issue Date 1/2/2001
PORT TOWNSEND, 98368 Expiration Date 1/2/2002
APPLICANT: ROBERT W POSTMA PHONE: 385-7429
321 SUNSET
PORT TOWNSEND WA 98368
26
SUBDIVISION: CAPE GEORGE COLONY DIV 2 Block: 4 Lot:
PARCEL NUMBER: 938100426 Section: 13 Township: 30N Range: 02W
CONTRACTOR: R & S SALES AND SERVICE PHONE: (360)732-4585
PO BOX 708
CHIMACUM WA 98325
Contractor's License RSSALS*022PB Expires 10/01/2001
OWNER,
if different:
PROJECT DESCRIPTION PROPANE TANK AND STOVE
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 01/02/2002.
REQUIRED INSPECTIONS:
[ Cank/Line/Appliance: fr C I 5 ' `' ( c, ;
[ ] FinalApproval: j 1 — ' c '‘
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.
HOT LINE AVAILABLE 24 HOURS A DAY
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BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00002 Received Date: 1/2/2001
SITE ADDRESS: 321 SUNSET BLVD
PORT TOWNSEND, 98368
APPLICANT: ROBERT W POSTMA PHONE: 385-7429
321 SUNSET
PORT TOWNSEND WA 98368
SUBDIVISION: CAPE GEORGE COLONY DIV 2 Block: 4 Lot: 26
PARCEL NUMBER: 938100426 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR: R & S SALES AND SERVICE PHONE: (360)732-4585
PO BOX 708
CHIMACUM WA 98325
Contractor's License RSSALS*022PB Expires 10/01/2001
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: PROPANE TANK AND STOVE
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 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 - Plat U d tions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $46.00 ZAN 01/02/01 35674
Total: $46.00
i:\F_BLD_App_Bld.rpt 10/29/19
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JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
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INSTALLATION PERMIT APPLICATION
WOODSTOVE ,>" PROPANE TANK PELLET STOVE OTHER . e� S NLA,d 1 1 4 " '"----
SITE ADDRESS:
911#/ROAD NAME 22/1 Su//S e 7 �!Vd
Capes bedr/S E' Ca(otny \M ZIP ge'3‘
9 DIGIT PARCEL ID NUMBER 93870 O V.2 Co /
Legal Description: �
Subdivision Name Block Lotls)
Section Township North, Range WM
APPLICANT 1` 4 .S.0c.l•e-S F4v „girt)1C e PHONE v 7 5.--S'4/2-5'
MAILING ADDRESS I r o, 8.Ok 7O 0
C- VV.wt_a_uk V./Iq ZIP ?e,3.2 s—
PROPERTY OWNER jO b f I € 'e .O Sli-VVvC‘_ PHONE 0 1r S--7' 9
MAILING ADDRESS ,,?2/ Skill$ 1I l r lid
C- ‘e.� 1 r ‹ W b ZIP ?e3C4 g
-CONTRACTOR R i,S S hg A '-- I)I<-4 PHONE ya/—/l 2..-1,_
MAILING ADDRESS P.0 <Peps:, 7D e
C v wtA.L(Jl bv, (,Jaq 0 ZIP 98325'----
STATE LICENSE # CC A b Z g R SS 1L S *O Z'Z P EXP. DATE /0/6/1/6 t
FEDERAL I.D. # 6 0 / rf'0 gyp- r._• c,c7 0O( 0CC`
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.
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APPLICANT SIGNATURE Weg4,1 ZZ
DATE / / d 22 d
�/ 0 FOR OFFICE USE ONLY
'Y/p'
BASE FEE RECEIPT# • 3 S /b-1 q
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CASH/CK# illaS
TOTAL 'l6, /"," DATE . I / 1/ 0
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