HomeMy WebLinkAboutBLD2001-00168 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 #: BLD01-00168 Received Date 3/23/2001
SITE ADDRESS: 40 PATHFINDER LN Issue Date 3/23/2001
PORT LUDLOW, 98365 Expiration Date 3/23/2002
APPLICANT: EDWARD GRAY PHONE:
40 PATHFINDER LN
PORT LUDLOW WA 98365
191
SUBDIVISION: PORT LUDLOW NO. 2 Block: Lot:
PARCEL NUMBER: 990603191 Section: 9 Township: 28N Range: 01E
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2001
OWNER,
if different:
PROJECT DESCRIPTION GAS HEAT STOVE & INTERNAL GAS PIPING
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 03/23/2002.
REQUIRED INSPECTIONS:
[ an me pD i2/C
[ pro . eiJC - -7</?/D / 461,*
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 #: BLD01-00168 Received Date: 3/23/2001
SITE ADDRESS: 40 PATHFINDER LN
PORT LUDLOW, 98365
APPLICANT: EDWARD GRAY PHONE:
40 PATHFINDER LN
PORT LUDLOW WA 98365
SUBDIVISION: PORT LUDLOW NO. 2 Block: Lot: 191
PARCEL NUMBER: 990603191 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2001
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: GAS HEAT STOVE & INTERNAL GAS PIPING
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: j '� a
Shoreline Aquifer
�/U` �, Forest: Commercial Rural
1-Pr ximityV - Hatc gad ditions
Type Amount Paid By: Date: Receipt: Approved/pate
Propane Tanks/Stoves $48.00 ZAN 03/23/01 38908
Total: $48.00
.1EFFERSON COUNTY PERMIT CENTER, 621 SrIERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
•
WOODSTOVE PROPANE TANK PELLET STOVE
OTHER g1-3) hs%oE,r 3
SITE ADDRESS:
911#/ROAD NAME 4 0 t'
P .
9 DIGIT PARCEL ID NUMBER 9'G a 603 1 I r
Legal Description:
Subdivision Name
Block Lot(s)
Section Township North, Range WM
APPLICANT
MAILING ADDRESS
i9 1 - [-l.�"� � O W � ZIP c cP2 6
PROPERTY OWNER PHONE 474 3 7•-2-T rj 1-
-MAILING ADDRESS
ZIP
CONTRACTOR u.VI S H Irl PR-0 pq. _
PHONE 3 8,5-' 6-79 7
MAILING ADDRESS (0 17 5 3 Q I-h a d 2 .
Pori 1+19•J LC U G OA . ZIP S(I 3 3
STATE LICENSE #
O f EXP. DATE l I Or1 _
FEDERAL I.D. # 91- I O g 7 8 S 7
.
APPLICANT SIGNATURE C�(�r--� A n-%
l DATE / c1.
FOR OFFICE USE ONLY
BASE FEE
RECEIPT #
CASH/CK #
TOTAL
DATE / /
H 1HOME\PLNCN TR\FORMSUNSTALL.DOC4/98