HomeMy WebLinkAboutBLD2001-00076 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 #: BLD01-00076 Received Date 2/6/2001
SITE ADDRESS: 211 SETON RD Issue Date 2/6/2001
PORT TOWNSEND, 98368 Expiration Date 2/6/2002
APPLICANT: JIM FERRIS PHONE: 385-7878
211 SETON RD
PORT TOWNSEND WA 98368
9/
SUBDIVISION: KEARNEY'S PLAT Block: Lot:
PARCEL NUMBER: 964800009 Section: 21 Township: 30N Range: 01W
CONTRACTOR:
OWNER,
if different:
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 02/06/2002,
REQUIRED INSPECTIONS:
ofin ine/Appliance: 72 H ( et")/ ?��` 'Jl ,
`InalApprova• 1 . z// c'
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 #: BLD01-00076 Received Date: 2/6/2001
SITE ADDRESS: 211 SETON RD
PORT TOWNSEND, 98368
APPLICANT: JIM FERRIS PHONE: 385-7878
211 SETON RD
PORT TOWNSEND WA 98368
SUBDIVISION: KEARNEY'S PLAT Block: Lot: 9/
PARCEL NUMBER: 964800009 Section: 21 Township: 30 N Range: 01 W
CONTRACTOR: PHONE:
PHONE:
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: Propane Tank
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
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt:—Proximity Apr Ced/Dateons
v Approved/Date
Tanks/Stoves $48.00 PRB 02/06/01 38107
Total: $48.00
JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST. PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK PELLET STOVE OTHER
SITE ADDRESS: I �O� O
911#/SITE ROAD NAME /
Pa,27 '7 .//VSE/vp LJ/9 ZIP 96368
9 DIGIT PARCEL ID NUMBER 176 g0'O 007
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT `J / i1 /i A,v S PHONE 36d cJ O S 787e
MAILING ADDRESS C C3 /'Oi 0 O127 �✓NSEA/O. I-N //G
ZIP 98 Er g
PROPERTY OWNER /-�414/3 f/CT01(Z.6 PHONE 6o E c
MAILING ADDRESS pI/ SE70r( /(lr.✓)
PO >z7 7 Z z /S e\I o W/9 ZIP 83U
109
CONTRACTOR //0/4A1 7�1r1 40 P°D-/V C PHONE
MAILING ADDRESS
ZIP
STATE LICENSE# 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 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.
and it's employees, representatives or agents for the purpose of application review and any
I further agree to provide access and right of entry to Jefferson County
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 l DATE 002— / 671 •/
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