Loading...
HomeMy WebLinkAboutBLD2001-00106 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 #: BLD01-00106 Received Date 2/15/2001 SITE ADDRESS: 282332 HWY 101 Issue Date 2/15/2001 PORT TOWNSEND, 98368 Expiration Date 2/15/2002 APPLICANT: MILDRED NORTHRUP PHONE: 360-379-1663 282332 HIGHWAY 101 PORT TOWNSEND WA 98368 T 8 SUBDIVISION: Block: Lot: PARCEL NUMBER: 902234013 Section: 23 Township: 29N Range: 02W CONTRACTOR: CENEX SUPPLY& MARKETING PHONE: (360)732-4585 PO BOX 518 AUBURN WA 98071-0518 Contractor's License CENEXHS022NQ Expires 09/01/2001 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 02/15/2002. REQUIRED INSPECTIONS: [. Tan ine/Appliance:t= `-- `3117/C- v -= � 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 i:\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 #: BLD01-00106 Received Date: 2/15/2001 SITE ADDRESS: 282332 HWY 101 PORT TOWNSEND, 98368 APPLICANT: MILDRED NORTHRUP PHONE: 282332 HIGHWAY 101 PORT TOWNSEND WA 98368 360-379-1663 SUBDIVISION: Block: Lot: T 8 PARCEL NUMBER: 902234013 Section: 23 Township: 29 N Range: 02 W CONTRACTOR: CENEX SUPPLY & MARKETING PHONE: (360)732-4585 PO BOX 518 AUBURN WA 98071-0518 Contractor's License CENEXHS022NQ Expires 09/01/2001 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: PROPANE TANK 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 'proximity - iiat Uoottl1ditions Type Amount Paid By: Date: Receipt: Approvedivate Propane Tanks/Stoves $48.00 ZAN 02/15/01 38279 Total: $48.00 JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 1360) 379-4450 INSTALLATION PERMIT APPLICATION WOODSTOVE )( PROPANE TANK PELLET STOVE OTHER 1 ADDRESS: t � 3� /46 / 2/ 911#/ROAD NAME •7� �/J / / �[� /IsC ) u/(7 ZIP 9e��j g 9 DIGIT PARCEL ID NUMBER /6 �r / 7 Legal Description: Subdivision Name Block Lot(s) Section Township North, Range WM i�APPLICANT C_ / �.-/ �' ..e. ) % J / HONE / ,:, MAILING ADDRESS ( 2 3? / G L /(./ Pr, 17_- 7 72'V , D ZIP 9gy t PROPERTY OWNER PHONE MAILING ADDRESS ZIP CONTRACTOR e-.1!`'(.„ PHONE 7 — .. � MAILING ADDRESS /O i�.�(//( L7//(© ( / � n z41/ ZIP 91(5'j--7C -L34-- ) STATE LICENSE It EXP. DATE FEDERAL I.D. it 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 the applicant's property or structure shall be requested and shall occur during regular business hours. APPLICANT SIGNATURE r DATE�`/ /�/ FOR OFFICE USE ONLY BASE FEE •' �' RECEIPT#, CASH/CK# ` - TOTAL f ' DATE . / H:\HOME\PLN CNTR\FORMS\IN STALL.DOC 10/99