HomeMy WebLinkAboutBLD2001-00031 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 #: BLD01-00031 Received Date 1/17/2001
SITE ADDRESS: 880 SCHWARTZ RD Issue Date 1/18/2001
NORDLAND, 98358 Expiration Date 1/18/2002
APPLICANT: WALLY BARCLAN PHONE:
PO BOX 134
NORDLAND WA 98358
1
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 021282025 Section: 28 Township: 30N Range: 01 E
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 GAS STOVE & PIPE 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 01/18/2002.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance:C9/C , ,- �"'..',-' d K ' ,V
[ nalApproval: ®/< /-1.23—U7-
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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
is\F_BLD_Perm it_Propane.rpt 10/29/19
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00031 Received Date: 1/17/2001
SITE ADDRESS: 880 SCHWARTZ RD
NORDLAND, 98358
APPLICANT: WALLY BARCLAN PHONE:
PO BOX 134
NORDLAND WA 98358
SUBDIVISION: Block: Lot: 1
PARCEL NUMBER: 021282025 Section: 28 Township: 30 N Range: 01 E
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: GAS STOVE & PIPE INSTALLATION
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: 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 Floodplain
F&W Landslide
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
-Proximity - Flat Uoo ditions
Type Amount Paid By: Date: Receipt: Approved/pate
Propane Tanks/Stoves $48.00 MAM 01/17/01 37366
Total: $48.00
JEFFERSON COUNTY PERMIT CENTER, 621 StIERIDAN ST, PORT TOWNSEND WA 98368 PH: 1360) 379.4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK PELLET STOVE
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SITE ADDRESS: 0 p)Q S C vU" �' rJ p 'e'911#/RQAD NAME /Ltn^ X G- zIP 3
9 DIGIT PARCEL ID NUMBER 0.. / 02 8 c O.Z S
Legal Description:
Subdivision Name
Block Lot(s)
Section Township North, Range WM
APPLICANT !d'&/ y 64,e, PHONE 3&I - 6 T V i
MAILING ADDRESS e0 v
NO ''`-tea..d 6 . zIP
PROPERTY OWNER 41/1 `61,
PHONE //
MAILING ADDRESS
ZIP
CONTRACTOR Su.n S H I n (>Iq ytq_
PHONE 3 as- 371 7
MAILING ADDRESS (O 3 S 3 Qla-D b 0 2 .
PO rT- 14 AYJ LD U C Lae. .
33
STATE LICENSE # �Ll� N.pt p 7 7 Q P
EXP, DATE I I Ooi
FEDERAL I.D. # 9 l- I o g 7 $S 7
APPLICANT SIGNATURE . .
'iA01 DATE 0- / / O d
FOR OFFICE USE ONLY 0
BASE FEE
RECEIPT # 3—+3 b�
--�- SH/CK # -13to3
TOTAL �
DATE —L_/iaLQJ
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