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HomeMy WebLinkAboutBLD2001-00072 • 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 #: BLD01-00072 Received Date 2/5/2001 SITE ADDRESS: 'MOUNTAIN TRAIL RD Issue Date 2/5/2001 t RINNON, 98320 Expiration Date 2/5/2002 APPLICANT: HOWARD P LINDBLAD BARBARA J LINDBLAD PHONE: 206-780-1033 12215 COUNTRY CLUB RD BAINBRIDGE ISLAND WA 98110 SUBDIVISION: OLYMPIC CANAL ADDITION 7 36 Block: 16 Lot: PARCEL NUMBER: 981901617 Section: 16 Township: 25N Range: 02W CONTRACTOR: KITSAP LUMBER & HARDWARE INC 450 NATIONAL AVE S PHONE: BREMERTON WA 98312-3697 Contractor's License KITSALHO9306 Expires 01/01/2002 OWNER, if different: PROJECT DESCRIPTION WOODSTOVE 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 02/05/2002. REQUIRED INSPECTIONS: [ ] Tank/Line/Appliance: [ ] FinalApproval: 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_Propa ne.rpt 10/29/19 f . • - BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00072 Received Date: 2/5/2001 SITE ADDRESS: 751 MOUNTAIN TRAIL RD BRINNON, 98320 APPLICANT: HOWARD P LINDBLAD PHONE: BARBARA J LINDBLAD 12215 COUNTRY CLUB RD BAINBRIDGE ISLAND WA 98110 206-780-1033 SUBDIVISION: OLYMPIC CANAL ADDITION 7 Block: 16 Lot: 36 PARCEL NUMBER: 981901617 Section: 16 Township: 25 N Range: 02 W CONTRACTOR: KITSAP LUMBER & HARDWARE INC PHONE: 450 NATIONAL AVE S BREMERTON WA 98312-3697 Contractor's License KITSALHO9306 Expires 01/01/2002 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: WOODSTOVE 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: /� /+ Shoreline Aquifer C i J Forest: Commercial Rural —Proxima Nlat conditions Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $48.00 ZAN 02/05/01 37343 Total: $48.00 \\ e^).\''\.C2_______ ‘ . ' )'\‘21 , ,,,, .‘g.Q____, -\-(......, ,r,„....A JEFFERSON DEVELOPMENT, 621 SHERIDAN ST, PORT COUNTY COMMUNITY TOWNSEND WA 98368 PH: (3E701 379 4'450 INSTALLATION PERMIT APPLICATION SWOODSTOVE PROPANE TANK PELLET STOVE OTHER SITE ADDRESS: `, � 911#/ROAD NAME `.7 (A,, : \V-, r 2Zn�VY�e�] \ \01 ,s • ZIP 1 ) `� 9 DIGIT PARCEL ID NUMBER q ( �� - f�'r U k 3 6 6.15 ' - cru t - k i g -(- o'�37 Legal Description: Subdivision Name 0 ,L, ,(,1,1-:(- �11 "t 7 Block ' �j Lotls) �3 �, --3 7 Section Township North, Range WM APPLICANT \ j�(A.�.k \-,\1�?17 2>r\ -> PHONE ) <0--J D • MAILING ADDRESS l7 Zk Cj �t`'\ C j QJp' tiA L✓\ j2 e-t f om `' S. ��fi� ZIP°1 (0 PROPERTY OWNER �L - PHONE MAILING ADDRESS ZIP .'CONTRACTOR .._.. f �-�l..1AAL Ka PHONE ��v�" aI' ylI I MAILING ADDRESS � \ yU � W��z� �� ZIP C;1 1 2 - 7 ( 77 STATE LICENSE# ik5 ��3°G EXP. DATE 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 attorneys 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 roperty or structure shall be requested and shall occur during regular business hours. APPLICANT SIG�FATIJR k_ �� l- DATE oZ / L j l� g' -� .s� a 'i; "* q �' ., wry W• t n g' yN 3 P , - ^a t :\HOME\PLNCNTR\FORMS H / � � 2 / ©~ � < p r ::/ l«« ° < ,�` � ,< . . : . c\ . : �: ; . { . � � } \ ®