HomeMy WebLinkAboutBLD2001-00145 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 #: BLD01-00145 Received Date 3/12/2001
SITE ADDRESS: 293311 HWY 101 Issue Date 3/13/2001
QUILCENE, 98376 Expiration Date 3/13/2002
APPLICANT: ERNEST G EMEL PHONE: (360)765-3515
293311 US HIGHWAY 101
QUILCENE WA 983769509
T 14
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 702114007 Section: 11 Township: 27N Range: 02W
CONTRACTOR: EVERWARM INC PHONE:
257151 HWY 101
PORT ANGELES WA 98362
Contractor's License EVERWI*088NL Expires 08/04/2001
OWNER, ERNEST G EMEL PHONE: (360)765-3515
if different: 293311 US HIGHWAY 101
QUILCENE WA 983769509
PROJECT DESCRIPTION PROPANE TANK& STOVE 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 03/13/2002.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliaroce?' JC 3lf
z--2 2/ . (21?'
[ naIA..r.
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 #: BLD01-00145 Received Date: 3/12/2001
SITE ADDRESS: 293311 HWY 101
QUILCENE, 98376
APPLICANT: ERNEST G EMEL PHONE: (360)765-3515
293311 US HIGHWAY 101
QUILCENE WA 983769509
SUBDIVISION: Block: Lot: T 14
PARCEL NUMBER: 702114007 Section: 11 Township: 27 N Range: 02 W
CONTRACTOR: EVERWARM INC PHONE:
257151 HWY 101
PORT ANGELES WA 98362
Contractor's License EVERWI*088NL Expires 08/04/2001
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: PROPANE TANK & STOVE 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
—Proximity - Plat C; ditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 03/12/01 38781
Total: $48.00
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Y; ;FERSON COUNTY COMMUNITY DEVELOPMENT. 621 SHERIDAN ST. PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
W00DSTOVE /PROPANE TANK PELLET STOVE /OTHER ?ROANE FIQEpLP%( SE-T
SITE ADDRESS: 2_93S ` 1 H�`f 'd
911#/ROAD NAME I (,�
) Vvt- ZIP (p
0057G
9 DIGIT PARCEL ID NUMBER 702 I )LI as 7
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT I— U E ZVU PHONE .36 0 — *' 2 -..336,6
MAILING ADDRESS :26--7/5 Go '( /L' I
/ 2% 0V6 Vt/4 ZIP (8..:36, 2-
PROPERTY OWNER E(ZN�ST ` PHONE,3(Q0 - 7GS _3515
MAILING ADDRESS !(?),s, i t "" " y )0 t (��
Ci(A1LC J\)E, Wtt. ZIP 10p
371fl
CONTRACTOR EV JZW/ ft-V1 PHONE3 0 < 2---334,
MAILING ADDRESS Z51/g/ /7 / lr� jj y
l4O�( ANC C !G s (,/W /) ZIP lO 3
STATE LICENSE # Jr.176E/ ,_7-- D g 7/1/L EXP. DATE c ' -'O/
FEDERAL I.D. # _ 9/- /SYO7O 7
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 andd right or entry to the appiicant's property or structure shall be requested and shai occur during reguiar busiiiest hours.
APPLICANT SIGNATURE DATE / / 0 /
�3C dr
FOR OFFICE USE ONLY
BASE FEE , : ° RECEIPT# c2 7 >
—16
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;; . CASH/CK # `Z J
TOTAL U O DATE /
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