HomeMy WebLinkAboutBLD2001-00184 Y $
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BUILDING 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 #: BLD01-00184 Received Date 03/30/2001
SITE ADDRESS: 304314 HWY 101 Issue Date 03/30/2001
BRINNON, 98320 Expiration Date 03/30/2002
APPLICANT: MARION PARKS PHONE: (360)796-4733
71 SEAL ROCK RD
BRINNON WA 98320
SUBDIVISION: JUPITER CITY Block: Lot: T 20
PARCEL NUMBER: 964600015 Section: 26 Township: 26 N Range: 02 W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License: SUNSHP*077QP Expires: 11/17/2001
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION PROPANE TANK& PIPING INSTALLATION
REQUIRED INSPECTIONS:
[ ] Setbacks (Shoreline Setbacks):
[ ] Footings:
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ ] Framing/Plumbing:
[ ] Propane Tank/Lines:
[ ] Insulation:
[ ] Sheetrock:
[ Fina1/O4cupancyApproval: 'ryA(<3 C / /c ® L..,
3(1 /oZ
HEALTH DEPARTMtN i APPROVAL KtQII1KtU F'KIUK I O IINA C INSrtCTI
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
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_Perm it_Bu ildng.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 #: BLD01-00184 Received Date: 3/30/2001
SITE ADDRESS: 304314 HWY 101
BRINNON, 98320
APPLICANT: MARION PARKS PHONE: (360)796-4733
71 SEAL ROCK RD
BRINNON WA 98320
SUBDIVISION: JUPITER CITY Block: Lot: T 20
PARCEL NUMBER: 964600015 Section: 26 Township: 26 N Range: 02 W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2001
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: PROPANE TANK & PIPING 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 conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 03/30/01 38880
Total: $48.00
I
JEFFERSON COUNTY PERMIT CENTER, 621 SHE IDA T, PORT TOWNSEND WA 98368 PH: (360) 379 4450
INSTALLATION PERMIT APPLICATION
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Legal Description:
Subdivision Name
Block Lot(s)
Section Township North, Range WM
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Zip__ iLtE 33
STATE LICENSE # __ $t,,(I1 S t+ %o 7 7 Q P
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FEDERAL I.D. # 9 1- I 0 q 7 $sl
APPLICANT SIGNATURE C(.644--c._ 4 01, _ �P
DATE 3/ /U( ,
( R OFFICE USE ONLY
BASE FEE (1
RECEIPT #
TOTAL c MAR 3 O 2001 CASH/CK # ! llo
DATE 3/3D/0 1
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