HomeMy WebLinkAboutBLD2001-00202 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 #: BLD01-00202 Received Date 4/6/2001
SITE ADDRESS: 31 SEAFARER LN Issue Date 4/9/2001
PORT LUDLOW, 98365 Expiration Date 4/9/2002
APPLICANT: ROBERT C MC CAUGHIN PHONE: (360)437-7608
BARBARA J MC CAUGHIN
31 SEAFARER LN
PORT LUDLOW WA 983659630 188
SUBDIVISION: PORT LUDLOW NO 2 AREA 3 Block: Lot:
PARCEL NUMBER: 990603188 Section: 9 Township: 28N Range: 01 E
CONTRACTOR: Suburban Propane
PO BOX 989
Port Townsend, WA 98368
SUBURPL044DA 3/1 /02
(360 )385-5096
OWNER, ROBERT C MC CAUGHIN PHONE: (360)437-7608
if different: BARBARA J MC CAUGHIN
31 SEAFARER LN
PORT LUDLOW WA 983659630
PROJECT DESCRIPTION PROPANE TANK& GAS LINE& GAS LOG 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 04/09/2002
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance:
[ ] FinalApproval:
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 #: BLD01-00202 Received Date: 4/6/2001
SITE ADDRESS: 31 SEAFARER LN
PORT LUDLOW, 98365
APPLICANT: ROBERT C MC CAUGHIN PHONE: (360)437-7608
BARBARA J MC CAUGHIN
31 SEAFARER LN
PORT LUDLOW WA 983659630
SUBDIVISION: PORT LUDLOW NO 2 AREA 3 Block: Lot: 188
PARCEL NUMBER: 990603188 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: Suburban Propane
PO BOX 989
Port Townsend, WA 98368
SUBURPL044DA 3/1 /02
( 360 ) 385-5096
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: PROPANE TANK & GAS LINE +' Clas Lot In5talcafiov1
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
--'roximit - Plat conditions
Type Amount Paid By: Date: Receipt: Approveate
Propane Tanks/Stoves $48.00 MAM 04/06/01 38891
Total: $48.00
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,JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
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WOODSTOVE PROPANE TANK PELLET STOVE OTHER V I I dS n
SITE ADDRESS: 3
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9 DIGIT PARCEL ID NUMBER t -( d 6 0 3 ( (, y
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
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APPLICANT ___ C`lr�/� /�/+ f �— /r r</ G—�� /� PHONE 34(_) LI 3 7 —760 (�
MAILING ADDRESS 3 (
PROPERTY OWNER ‘j—o`b„' PHONE
MAILING ADDRESS
ZIP
CONTRACTOR FralitiJ70.4 PHONE
( MAILING ADDRESS
ZIP
1 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 right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours.
APPLICANT SIGNATURE DATE/,/Qw,Zi/ NJ /Zoo
FOR OFFICE USE ONLY - `'YY__ __
BASE FEE RECEIPT#.
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CASH/CK#
TOTAL DATE / j
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