HomeMy WebLinkAboutBLD2001-00089 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 #: BLD01-00089 Received Date 2/9/2001
SITE ADDRESS: 163 WEATHER-N-HEIGHTS Issue Date 2/9/2001
BRINNON, 98320 Expiration Date 2/9/2002
APPLICANT: ROBERT E ALLINGHAM PHONE:
200 N GRAND AVE#13
ANAHEIM CA 92801
2
SUBDIVISION: BARNETT &TURLIS SHORT PLAT Block: Lot:
PARCEL NUMBER: 502282020 Section: 28 Township: 25N Range: 02W
CONTRACTOR:
OWNER,
if different:
PROJECT DESCRIPTION
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 02/09/2002.
REQUIRED INSPECTIONS:
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[ ] FinalApproval: Ors " l-
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
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BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00089 Received Date: 2/9/2001
SITE ADDRESS: 163 WEATHER-N-HEIGHTS
BRINNON, 98320
APPLICANT: ROBERT E ALLINGHAM PHONE:
200 N GRAND AVE#13
ANAHEIM CA 92801
SUBDIVISION: BARNETT&TURLIS SHORT PLAT Block: Lot: 2
PARCEL NUMBER: 502282020 Section: 28 Township: 25 N Range: 02 W
CONTRACTOR: PHONE:
PHONE:
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: e ro\dwe. 1 ah IC--
L t S t ld V v.1
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
Routing Date: F&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
—F-ir ximity - I-'lat Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 PRB 02/09/01 38114
Total: $48.00
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VELOPMENT, 621 SHERIDAN JEFFERSON COUNTY COMMUNITY DE ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK PELLET STOVE OTHER
SITE ADDRESS: /
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911#/ROAD NAME !v ff
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9 DIGIT PARCEL ID NUMBER �002 02 02 f>�!�
Legal Description:
Subdivision Name �7'R � - o? Q� Block Lot(s) �.
Section Township North, Range WM
APPLICANT / O bP P-� 1 I'�G�V1(� PHONE �60 �6 - oz O ��
MAILING ADDRESS oZDI 'D iA�� ,p TT(/ �
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PROPERTY OWNER C „G ( \ 7/ ,�'� 497
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MAILING ADDRESS ,2pp it) ' �/1 4, 1
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CONTRACTOR A r'�"o� ) ` 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 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 property or structure shall be requested and shall occur during regular business hours.
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ALL.DOC 10/99
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