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HomeMy WebLinkAboutBLD2001-00156 ' a PROPANE/PELLET/WOOD STOVE & 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 #: BLD01-00156 Received Date 3/20/2001 SITE ADDRESS: 824 WOODLAND DR tJ'4 y Issue Date 3/20/2001 PORT TOWNSEND,-98368 Expiration Date 3/20/2002 APPLICANT: ROBERT DALEY PHONE: 324 WOODLAND DR PORT TOWNSEND WA 98368 18 SUBDIVISION: WALTHEW'S ACRE TR. Block: Lot: PARCEL NUMBER: 930400003 Section: 27 Township: 30N Range: 01W CONTRACTOR: CENEX SUPPLY& MARKETING PHONE: (360)732-4585 PO BOX 518 AUBURN WA 98071-0518 Contractor's License CENEXHS022NQ Expires 09/01/2001 OWNER, ROBERT DALEY PHONE: if different: 324 WOODLAND DR PORT TOWNSEND WA 98368 PROJECT DESCRIPTION PROPANE TANK 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 03/20/2002. REQUIRED INSPECTIONS: [ II Line/Appliance: (/-)(v/f ©X Ve © VC"---2k 2 pprov : orc /'-(& 9r,.5-)T,/ 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 PE_RM"T APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00156 Received Date: 3/20/2001 SITE ADDRESS: 824 WOODLAND DR 40A X PORT TOWNSEND, 98368 APPLICANT: ROBERT DALEY PHONE: 324 WOODLAND DR PORT TOWNSEND WA 98368 SUBDIVISION: WALTHEW'S ACRE TR. Block: Lot: 18 PARCEL NUMBER: 930400003 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: CENEX SUPPLY& MARKETING PHONE: (360)732-4585 PO BOX 518 AUBURN WA 98071-0518 Contractor's License CENEXHS022NQ Expires 09/01/2001 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: PROPANE TANK 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: 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 F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural —Proximity - Plat Conditions Type Amount Paid By: Date: Receipt: ' Approveate Propane Tanks/Stoves $48.00 MAM 03/20/01 38851 Total: $48.00 JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WAI 368 PH: (360) 379-4450 } INSTALLATION PERMIT APPLICATION WOODSTOVE X' PROPANE TANK PELLET STOVE OTHER MAR 2 0 2001 SITE ADDRESS: / 911#/ROAD NAME J�� of.) t- "�n � u12� 1 /�� ZIP 9 DIGIT PARCEL ID NUMBER ' 30 "'( 00 —Oo 5 Legal Description: Subdivision Name Block Lot(s) Section �^ Township North, Range WM T APPLICANT �� YC PHONE MAILING ADDRESS ( 7--Lf WOO LA A) Y) D 1. rl T � eLU3 it)See, Ai D ZIP PROPERTY OWNER ' '" -7 - Y`'T �A V�--L PHONE �2�MAILING ADDRESS lsL/ t IODD 7 LA'A 0 ZIP CONTRACTOR 00 ‘C.;f'< PHONE 73_ MAILING ADDRESS 3 n,1 'v// q 1)12 v'vr -I WA- ZIP 39� 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,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 t of entry to the appli nt's propert or structure shall be requested and shall occur during regular business hours. APPLICANT SIGNATURE ""' DATE / FOR OFFICE USE ONLY .BASE FEE, RECEIPT# (' 1 CASH/CK# • TOTAL DATE ! . ' H:\HOME\PLN CNTR\FORMS\I N STALL.D0 C 10/99 6 ,60 — icy