HomeMy WebLinkAboutBLD2001-00079 •
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 #: BLD01-00079 Received Date 2/7/2001
SITE ADDRESS: 4 PHINNEY LN Issue Date 2/7/2001
PORT LUDLOW, 98365 Expiration Date 2/7/2002
APPLICANT: EUGENE Q CARMODY JR PHONE:
4 PHINNEY LN
PORT LUDLOW WA 983659774
SUBDIVISION: PORT LUDLOW NO 1 AREA 1 Block: Lot:
PARCEL NUMBER: 990400171 Section: 9 Township: 28N Range: 01E
CONTRACTOR: RIGGS CONSTRUCTION PHONE: (360)779-6222
PO BOX 3
PORT GAMBLE WA 98364-0003
Contractor's License RIGGSC044KF Expires 05/02/2001
OWNER, EUGENE Q CARMODY JR PHONE:
if different: 4 PHINNEY LN
PORT LUDLOW WA 983659774
PROJECT DESCRIPTION PROPANE TANK AND PROPANE INSERT
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 02/07/2002.
REQUIRED INSPECTIONS:
[ one/Appliance• C 7 e:1 �.:'_ r.
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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 #: BLD01-00079 Received Date: 2/7/2001
SITE ADDRESS: 4 PHINNEY LN
PORT LUDLOW, 98365
APPLICANT: EUGENE Q CARMODY JR PHONE:
4 PHINNEY LN
PORT LUDLOW WA 983659774
SUBDIVISION: PORT LUDLOW NO 1 AREA 1 Block: Lot:
PARCEL NUMBER: 990400171 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: RIGGS CONSTRUCTION PHONE: (360)779-6222
PO BOX 3
PORT GAMBLE WA 98364-0003
Contractor's License RIGGSC044KF Expires 05/02/2001
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: PROPANE TANK AND PROPANE INSERT
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
V Forest: Commercial Rural
Type Amount Paid By: Date: �rReceipt Approved/Datety aions
p �
Propane Tanks/Stoves $48.00 ZAN 02/07/01 38252
Total: $48.00
JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE Y. PROPANE TANK PELLET STOVE B OTHER /)>-O /v1S5:-rf'
SITE ADDRESS:
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9 DIGIT PARCEL ID NUMBER 990 y('(� 1 / /
Legal Description:
Subdivision Name Block Lots) •7/
Section Township North, Range WM
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APPLICANT (x{f , c PHONE '7 7 9 j-.ct3d,
MAILING ADDRESS
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6a/ 74ec /an- ZIP / U36-V
PROPERTY OWNER e r- G/1/4-- PHONE 2137 V" )
MAILING ADDRESS q A/hnce v r �ry
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CONTRACTOR I :� 0 PHONE 7 7 9 C 1
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STATE LICENSE# 7Z166 e,. OC $Zu,) EXP. DATE 0
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 th 'cant's property or structure shall be requested and shall occur during regular business hours.
APPLICANT SIGNATURE ( DATE / 7 / /
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