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HomeMy WebLinkAboutBLD2001-00208 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 #: BLD01-00208 Received Date 4/10/2001 SITE ADDRESS: 13 YAWL LN Issue Date 4/11/2001 PORT LUDLOW, 98365 Expiration Date 4/11/2002 APPLICANT: GEORGE VRABLE PHONE: (360)437-0588 13 YAWL LN PORT LUDLOW WA 98365 83 SUBDIVISION: PORT LUDLOW NO. 3 Block: Lot: PARCEL NUMBER: 990700083 Section: 8 Township: 28N Range: 01E CONTRACTOR: SUNDANCE SOLAR —STOVE PHONE: 888-373-1974 3301 HWY 16 PORT ORCHARD WA 98366 Contractor's License SUNDAS*066MG Expires 05/19/2001 Ferrel gas - TANK PHONE: 385-6998 FERRELP055LH 08/01 /2001 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 04/11/2002. REQUIRED INSPECTIONS: [ ank/LineJAppliance: lY© [ - (Approval: ®k //l /' / 40 / 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 #: BLD01-00208 Received Date: 4/10/2001 SITE ADDRESS: 13 YAWL LN PORT LUDLOW, 98365 APPLICANT: GEORGE VRABLE PHONE: (360)437-0588 13 YAWL LN PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO. 3 Block: Lot: 83 PARCEL NUMBER: 990700083 Section: 8 Township: 28 N Range: 01 E CONTRACTOR: SUNDANCE SOLAR -STOVE PHONE: 888-373-1974 3301 HWY 16 PORT ORCHARD WA 98366 Contractor's License SUNDAS*066MG Expires 05/19/2001 ARCHITECT/ Ferrelgas - TANK ENGINEER : FERRELP0551h 08/01 /2001 (360 )385-6998 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 1'r ximity - Flat conditions Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $48.00 MAM 04/10/01 38954 Total: $48.00 bye / i3Jo1 JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450 INSTALLATION PERMIT APPLICATION / 4j 5'0v/ WOODSTOVE PROPANE TANK PELLET STOVE OTHER SITE ADDRESS: 911#/ROAD NAME / yitoL /\ 7 Z. u.?)// w ZIP 9cg3[C� 9 DIGIT PARCEL ID NUMBER -LD 0 �. Legal Description: Subdivision Name Block Lot(s) Section Township North, Range WM APPLICANT f®� F (///Q/.9.1g1Z PHONE 3 7- MAILING ADDRESS /3 , LL.1L 44/1j 7- / LUJ)L W ZIP % R'3&s PROPERTY OWNER f Q f .view PHONE 7�j 7-D5 it � dy � � MAILING ADDRESS / y L. 4/ A/� �/1er 4vj�Li)LJJ ZIP ?0.3S CONTRACTOR /jc / e/`i s / )j2-e,f/J /F.„7,V PHONE MAILING ADDRESS ZIP 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 7 //Q / (-)/ FOR OFFICE USE ONLY . BASE FEE. .; RECEIPT# 3S 'j 4 CASH/CK# u 63 TOTAL DATE /[s/15i H:\HOME\PLN CNTR\FORMS\INSTALL.DOC 10/99