Loading...
HomeMy WebLinkAboutBLD2001-00126 r 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 #: BLD01-00126 Received Date 3/1/2001 SITE ADDRESS: 160 PORTAGE WAY Issue Date 3/1/2001 PORT HADLOCK, 98339 Expiration Date 3/1/2002 APPLICANT: ROD L MULHOLLAND PHONE: DIANE M MULHOLLAND 103 HUDSON ST#349 PORT TOWNWSEND WA 98368 SUBDIVISION: HILLERS WF TR INC TL Block: Lot: PARCEL NUMBER: 960300001 Section: 7 Township: 29N Range: 01 E CONTRACTOR: OWNER, ROD L MULHOLLAND PHONE: if different: DIANE M MULHOLLAND 103 HUDSON ST#349 PORT TOWNWSEND WA 98368 PROJECT DESCRIPTION Propane Tank LtNG .S T-©v 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 03/01/2002. REQUIRED INSPECTIONS: [ W-nk/Line/Applian -. (f57/C 14/20/0/ 41z)r„z - ( 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 #: BLD01-00126 Received Date: 3/1/2001 SITE ADDRESS: 160 PORTAGE WAY PORT HADLOCK, 98339 APPLICANT: ROD L MULHOLLAND PHONE: DIANE M MULHOLLAND 103 HUDSON ST#349 PORT TOWNWSEND WA 98368 SUBDIVISION: HILLERS WF TR INC TL Block: Lot: PARCEL NUMBER: 960300001 Section: 7 Township: 29 N Range: 01 E CONTRACTOR: PHONE: PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: Propane Tank 1 /?/ 6 5 7© v 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: 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 I-'r ximity flat Uo aitions Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $48.00 PRB 03/01/01 38138 Total: $48.00 JEFFERSON COUNTY COMMUNITY DEVEL)PMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450 INST/kLLATION PERMIT APPLICATION WOODSTOVE • PROPANE TANK ' PELLET STOVE OTHER SITE ADDRESS: 911#/ROAD NAME 1 - ,7 /)t'r -'_'.- b 7 fir"4- Lion e ''(4, ii ZIP .SJ 9 DIGIT PARCEL ID NUMBER 9( V 34 is, 0 0 / Legal Description: � Subdivision Name '7/./76W.\ A e't,'Vy /9c/.0 Block Lot(s) - Section 'r9'7e(' Township North, Range WM APPLICANT /\,v c *i4 c J)' 1Iic' I t `'Cf PHONE 3 6 cry "3 - MAILING ADDRESS /l� G' I>..4 0 i`,-c k!-7 17 'r'I- 11-r'_ ''t.'C.,f ,/ rv - 4 ZIP G" 3.3Li% el (C. PROPERTY OWNER /- -J gt' UY"1 vG //,c- l l d2-c d PHONE ;fit.-G:-, - 3 ,5 - ;' 1 7 MAILING ADDRESS / ��= f ��� �� 12 P' r ;, / di ZIP -7 3 3'7?- CONTRACTOR I D' �� �'1 PHONE 3/ --3 S - Cam'g3 MAILING ADDRESS 2.6 ,J14 1/ yali c ) _ ?,2,11,--1„ b(_y+ I ✓9 ZIP 3 c9,-- STATE LICENSE# 0��yrf di EXP. DATE JZ " 0 'O s— FEDERAL I.D. # )— (" Li f' By signing the application form,the applicant/ ,/owner after , t the information provided herein is true and correct to the best of their knowledge. Any material �p falsehood or any omission of a material fact m p" s nt/owner with respect to this application packet may result in this permit being null and void. ade by the'_ pli � I further agree to save, indemnify and hold hEirmless 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 o 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 nigh;of entry to the apoi'ant's property or structures II be requested and shall occur during regular business hours. f APPLICANT SIGNATURE r %. . DATE ;- /I / 67, FOR OFFICE USE ONLY �f ,,� , BASE FEE ` """""" <v„ .."g -, RECEIPT# " f' CASH/CK# t t TOTALg x0- " DATE / ( /AN 6 H:\HOME\PLN CNTR\FORMS\INSTALL.DO C 10/99