HomeMy WebLinkAboutBLD2001-00053 •
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 #: BLD01-00053 Received Date 1/25/2001
SITE ADDRESS: 264 FOXFIELD DR Issue Date 1/25/2001
PORT TOWNSEND, 98368 Expiration Date 1/25/2002
APPLICANT: PENNY CHAMBERLAIN PHONE: (360)385-5310
264 FOXFIELD DR
PORT TOWNSEND WA 98368
100
SUBDIVISION: KALA POINT#4 Block: Lot:
PARCEL NUMBER: 965000094 Section: 27 Township: 30N 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, PENNY CHAMBERLAIN PHONE: (360)385-5310
if different: 264 FOXFIELD DR
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION PROPANE TANK& GAS 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 01/25/2002.
REQUIRED INSPECTIONS:
[ ] ank/Line ppliance: alb ,
/;/ 5 i
[L] FinalApproval: D1� - c-� /r) / 775-is z-/Ali.
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 of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00053 Received Date: 1/25/2001
SITE ADDRESS: 264 FOXFIELD DR
PORT TOWNSEND, 98368
APPLICANT: PENNY CHAMBERLAIN PHONE: (360)385-5310
264 FOXFIELD DR
PORT TOWNSEND WA 98368
SUBDIVISION: KALA POINT#4 Block: Lot: 100
PARCEL NUMBER: 965000094 Section: 27 Township: 30 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 & GAS PIPE INSTALLATION
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION MAIN:
CODE EDITION: 1997 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER. SHORELINE:
CONST TYPE: GARAGE: 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 - Plat Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 01/25/01 37381
Total: $48.00
JL kFFERSON UNTY P RMIT CENT R 1 E IDA T PORT T WNSEND WA 3 8 PH: 36 379-4450 ,
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK
PELLET STOVE OTHER
SITE ADDRESS:
911#/ROAD NAME (AO El Cam.&
Pam: O ,,s 4...„, c ►) ZIP 4 3 o e
9 DIGIT PARCEL ID NUMBER 9 (0 (3
Legal Description:
Subdivision Name
Block Lot(s)
Section Township North, Range WM
APPLICANT P a! _1 p
" J Le /L
PHONE 385'53/0
MAILING ADDRESS
ZIP
PROPERTY OWNER C_( '
PHONE
MAILING ADDRESS
ZIP
CONTRACTOR �U.Y1 s H in t_ P ao n A•tul
PHONE 3 85'' S79 7
MAILING ADDRESS (0 }7 S 3 RI+0 0
0 2 .
11.�,•A►ho
Po�.�' `, LD (..1C C.)'C. . e
ZIP S d' 33 1
STATE LICENSE # _��yls/{.AtO77Qp
EXP. DATE L 2) _
FEDERAL I.D. # 9I- I0178S7
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APPLICANT SIGNATURE ��--c-- .O
,iQ
ri-, r�''�'Y DATE ')-- / 63 / O d
FOR OFFICE USE ONLY
BASE FEE
RECEIPT #
CASH/CK # 3- 3
TOTAL ;'3
ATE / /
-01
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