HomeMy WebLinkAboutBLD2001-00048 .
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 #: BLD01-00048 Received Date 1/24/2001
SITE ADDRESS: 62 LEWIS AVE Issue Date 1/24/2001
PORT TOWNSEND, 98368 Expiration Date 1/24/2002
APPLICANT: DOUGLAS P SOEHL PHONE:
212 GRANT ST
PORT TOWNSEND WA 98368
11-13
SUBDIVISION: IRONDALE Block: 102 Lot:
PARCEL NUMBER: 962110202 Section: 34 Township: 30N Range: 01W
CONTRACTOR: mC?L,i v'1- i o1 iP r o y it L 3 i", Lo b
OWNER, DOUGLAS P SOEHL PHONE:
if different: 212 GRANT ST
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION Propane tank
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 01/24/2002.
REQUIRED INSPECTIONS:
.
[ ] ( Tank/Lyle/Appliance: Ti) e)ra)ly 0/9 C j
[ ] FinalApproval: 77/iPA(6/7-0 Dfr- .)//e17
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 R E c E I VLS JAN 2 4 2001 \B
i:\F_BLD_Permit_Propane.rpt 10/29/19
JEFFERSON COUNTY
DEPT. OF COMMUNITY DEVELOPMENT
•
JEFFERSON COUNTY COMMUNITY DEVELOPMENT,_621 SHERIDAN S . PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE "'.PROPANE TANK PELLET STOVE OTHER
SITE ADDRESS:
911#/ROAD NAME Z (�;�f�.(t, (S A' -
P 1 /v(/s u'i� , ZIP 9ZS
9 DIGIT PARCEL ID NUMBER ?Co Z /l U Zv—2--
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT aX(-r .4 S /4 1.9Z t, PHONE , 7' -/Q 2
/
MAILING ADDRESS ( ' Z ( C..-J/ �1 /
�Uu2/l,37itJJJ If/if- ZIP 7 b 3G
PROPERTY OWNER /�/ PHONE
MAILING ADDRESS ,54",v
ZIP
CONTRACTOR /,k �`"lC 4/(,L PHONE
MAILING ADDRESS
ZIP
STATE LICENSE # outi j 9 4'/T/ 8 EXP. DATE %Z/d g/O
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 Z> O DATE p'ZC{ / 1vJ / Q
l�I l/
/g„r�� FOR OFFICE USE ONLY ^�BASE FEE RECEIPT# 71�1+7
CASH/CK#Ait
TOTAL 4,41;-'al'- ECEn# E
DATE • l />f h7 (/ J
H:\HOMEIPLNCNTR\FORMS\INSTALL.DOC10/99 JAN 2 4 2001
JEFFERSON COUNTY
DEPT.OF COMMUNITY DEVELOPMENT
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