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HomeMy WebLinkAboutBLD2001-00144 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 #: BLD01-00144 Received Date 3/12/2001 SITE ADDRESS: 165 COUNTRY RIDGE DR Issue Date 3/12/2001 CHIMACUM, 98325 Expiration Date 3/12/2002 APPLICANT: CHARLES SHERRED PHONE: (360)732-7034 WANDA SHERRED 165 COUNTRY RIDGE DR CHIMACUM WA 98325 6 SUBDIVISION: COUNTRY RIDGE Block: Lot: PARCEL NUMBER: 801045006 Section: 4 Township: 28N Range: 01W CONTRACTOR: EVERWARM INC PHONE: 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 08/04/2001 OWNER, if different: PROJECT DESCRIPTION WOODSTOVE INSTALLATION 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 03/12/2002. REQUIRED INSPECTIONS: [ ank/liue lance:et,&© -5 7 v c.h'i)"/i./t` © / C / A /' 0:r2 Fi alApprov : !C 3 r AO ( 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 #: BLD01-00144 Received Date: 3/12/2001 SITE ADDRESS: 165 COUNTRY RIDGE DR CHIMACUM, 98325 APPLICANT: CHARLES SHERRED PHONE: (360)732-7034 WANDA SHERRED 165 COUNTRY RIDGE DR CHIMACUM WA 98325 SUBDIVISION: COUNTRY RIDGE Block: Lot: 6 PARCEL NUMBER: 801045006 Section: 4 Township: 28 N Range: 01 W CONTRACTOR: EVERWARM INC PHONE: 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 08/04/2001 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: WOODSTOVE INSTALLATION 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 —Pr ximity - F'Iat Uor1d Lions Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $48.00 MAM 03/12/01 38773 Total: $48.00 JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450 INSTALLATION PERMIT APPLICATION t,'WOODSTOVE PROPANE TANK PELLET STOVE OTHER SITE ADDRESS: / .7 911#/ROAD NAME /6 J (dC)A/T Zy 1 106E (fit{:I f1E ( 641' /9Cr)/%1) l/G✓,9 ZIP 9.g325 9 DIGIT PARCEL ID NUMBER 4F0,o, _,0 Legal Description: /, Subdivision Name C ai/RJ72Ctei=7;".ai E Block Lotls) Section Township North, Range WM APPLICANT )�f-,/i32[,c::S .*/ ��410/ �i'-(�c.I' —n PHONE 26'0 73Z 703� MAILING ADDRESS /4._S- CI L/!i./T/'c/%11/0 D41v - C H/T IACLJ, 1) �i/ ZIP /? 72.5. / ll PROPERTY OWNER + <�f`1r7CJ PHONE MAILING ADDRESS ZIP CONTRACTOR L.-(tel tVi--)/(---fYY) PHONE 3 o q`J-Z 3 s6 6 MAILING ADDRESS Zs'7//s7/ u.l(_j /0/ ;/"L7 :T itJ'JGC&_) / t1.4ei ZIP C ,R,-3 'C STATE LICENSE# EV/rlc bu2*o a b'A L- EXP. DATE 5/1/Q FEDERAL I.D. # �/// 54LO707 /// 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 (3 .,z214-a/1a ��\ DATE J / /Z / G). FOR OFFICE USE ONLY BASE FEE RECEIPT# .1 1. ... CASHTCK#� .. = TOTAL L I ic - DATE - ', / i, / ,- H:\HOME\PLNCNTR\FORMS\INSTALL.DOC 10/99