HomeMy WebLinkAboutBLD2001-00217 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 #: BLD01-00217 Received Date 4/16/2001
SITE ADDRESS: 431 ARDEN ST Issue Date 4/16/2001
PORT HADLOCK, 98339 Expiration Date 4/16/2002
APPLICANT: ROGER EVRAETS PHONE: (360)385-7209
SHERI EVREATS
431 ARDEN ST
PORT HADLOCK WA 98339 1-5
SUBDIVISION: IRONDALE Block: 43 Lot:
PARCEL NUMBER: 961804301 Section: 35 Township: 30N Range: 01W
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 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 04/16/2002.
REQUIRED INSPECTIONS:
[ j Tank/Line/Appliance:
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[ ] FinalApproval: ) ‘/..)--c7/�
BUILDING INSPECTION HOT-LINE 3794455. 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 #: BLD01-00217 Received Date: 4/16/2001
SITE ADDRESS: 431 ARDEN ST
PORT HADLOCK, 98339
APPLICANT: ROGER EVRAETS PHONE: (360)385-7209
SHERI EVREATS
431 ARDEN ST
PORT HADLOCK WA 98339
SUBDIVISION: IRONDALE Block: 43 Lot: 1-5
PARCEL NUMBER: 961804301 Section: 35 Township: 30 N Range: 01 W
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: PROPANE TANK INSTALLATION
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION MAIN:
CODE EDITION: 1997 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 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
1-'r ximity - Hat G d Lions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 04/16/01 39882
Total: $48.00
Jt- ERSON COUNTY PERMIT CENTER. 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 13601 379-4450
INSTALLATION PERMIT APPLICATION.
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9 DIGIT PARCEL ID NUMBER ! / O D L/ 3 0 (
Legal Description: I
Subdivision Name
Block Lot(s)
Section Township North, Range WM
APPLICANT A) ), r V(L'CL
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MAILING ADDRESS ) ( Vde/L- f •
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PROPERTY OWNER (i 1 v''1 r eta Or yp b/c4 PHONE
MAILING ADDRESS
ZIP
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ZIP 3,j
STATE LICENSE #
EXP. DATE l ! 2I
FEDERAL I.D. # 91_ I o R 7 8 s'7
APPLICANT SIGNATURE
DATE � o 611
FOR OFFICE USE ONLY
BASE FEE _�
RECEIPT # 9
CASH/CK #
TOTAL
DATE 9 / (�/ nl
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