HomeMy WebLinkAboutBLD2001-00041 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 #: BLD01-00041 Received Date 1/19/2001
SITE ADDRESS: 174 RHODY CT Issue Date 1/22/2001
CHIMACUM, 98325 Expiration Date 1/22/2002
APPLICANT: LEONARD SYSTMA PHONE: 360-732-5029
174 RHODY COURT
CHIMACUM WA 98325
9
SUBDIVISION: RHODODENDRON ESTATES Block: Lot:
PARCEL NUMBER: 963100009 Section: 10 Township: 29N 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 AND GAS HEAT 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 01/22/2002.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance: ,C / ''/)—'"O L
[ ] FinalApproval: Oeta:c.._ /— 'J -- OZ
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_Permit_Propane.rpt 10/29/19
BUILDING PERMIT APPLICATION
Jefferson County Department oc. Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00041 Received Date: 1/19/2001
SITE ADDRESS: 174 RHODY CT
CHIMACUM, 98325
APPLICANT: LEONARD SYSTMA PHONE:
174 RHODY COURT
CHIMACUM WA 98325
360-732-5029
SUBDIVISION: RHODODENDRON ESTATES Block: Lot: 9
PARCEL NUMBER: 963100009 Section: 10 Township: 29 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 AND GAS HEAT 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: 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 Floodplain
F&W Landslide
Routing Date: 1 / l Aquifer
uifer
1c1x �, lftr _, q
Forest: Commercial Rural
—Proximity - Plat Uoo ditions
Type Amount Paid By: Date: Receipt: Approvedivate
Propane Tanks/Stoves $48.00 ZAN 01/19/01 37375
Total: $48.00
JEFFERSON COUNTY PERMIT CENTER. 621 SI-ERIDAN ST, PORT TOWNSEND WA 98368 PH: 13601 379-445b
,
INSTALLATION PERMIT APPLICATION
WOODSTOVE r PROPANE TANK PELLET STOVE OTHER (ramj ✓��
SITE ADDRESS:
1 n /
911#/ROAD NAME 1 11
W 5 ZIP
9 DIGIT PARCEL ID NUMBER U O O
Legal Description:
Subdivision Name
Block Lot(s)
Section Township North, Range WM
APPLICANT Lf� � 1)
r % SIITSAM —7
PHONE 3
MAILING ADDRESS
ZIP
PROPERTY OWNER a_ _12 A
I- 1_ —� 1 PHONE i/
MAILING ADDRESS
ZIP
CONTRACTOR Sll yl S H I Yl P 2p 9 Iq yam,_
PHONE a 85- 379 7
MAILING ADDRESS ID g S 3 RI+o a 02 .
Pori- H .o LD C 1, Lae. .
STATE LICENSE # —_�L.l Vl.S N-A'i� 0 7 7 4 P
EXP. DATE_______OBI FEDERAL I.D. # 91- I 0 q 7 $S7
APPLICANT SIGNATURE C�(�r- ,
AO-' DATE / / O d
FOR OFFICE USE ONLY
BASE FEE
RECEIPT # M-
I CASH/CK # -�
TOTAL
DATE Lill/ 0(
L JAN 1 9 2001
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