HomeMy WebLinkAboutBLD2001-00247 = L
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 #: BLD01-00247 Received Date 4/30/2001
SITE ADDRESS: 371 RIDGE DR Issue Date 5/1/2001
PORT TOWNSEND, 98368 Expiration Date 5/1/2002
APPLICANT: TOM WILSON PHONE: (360)379-2818
GAIL WILSON
371 RIDGE DR
PORT TOWNSEND WA 98368 78
SUBDIVISION: CAPE GEORGE VILLAGE DIV 3 Block: Lot:
PARCEL NUMBER: 940500077 Section: 13 Township: 30N Range: 02W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2001
OWNER, TOM WILSON PHONE: (360)379-2818
if different: GAIL WILSON
371 RIDGE DR /
PROPANE TANK, PIPE &STOVE INSTALLATION
PORT TOWNSEND WA 98368 MQh / 26 rz-
PROJECT DESCRIPTION �� / (((
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 05/01/2002.
REQUIRED INSPECTIONS:
[ ] Tan Line/Appliance: o 6 -26 OL
[ ] FinalApproval: TGl-rJfG. a Kh,
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
i:\F_BLD_Permit_Propane.rpt 10/29/19
,JcirERSON OUNTY PERMIT ENTER 1
I A T PORT T W SEND WA 8368 PH: 36 379,4450
INSTALLATION PERMIT APPLICATION
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WOODSTOVE 1 PROPANE TANK PELLET STOVE
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Legal Description:
Subdivision Name
Block Lot(s)_
Section Township North, Range WM
APPLICANT Ib-wt 2 tr� L ,./ILSo
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MAILING ADDRESS PHONE 37 / ' ��/�
ZIP
PROPERTY OWNER
PHONE
MAILING ADDRESS
ZIP
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PHONE 3 - 5"71 7
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STATE LICENSE # ,lVl S t±A*07 7 O A
EXP. DATE iI Oi 1
FEDERAL I.D. # l- 10 q 7 Q S'J
APPLICANT SIGNATURE �(Gr-�
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FOR OFFICE USE ONLY
BASE FEE
RECEIPT # { �
CASH/CK # ( �
TOTAL
DATE L, / / t
H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98 _
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BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00247 Received Date: 4/30/2001
SITE ADDRESS: 371 RIDGE DR
PORT TOWNSEND, 98368
APPLICANT: TOM WILSON PHONE: (360)379-2818
GAIL WILSON
371 RIDGE DR
PORT TOWNSEND WA 98368
SUBDIVISION: CAPE GEORGE VILLAGE DIV 3 Block: Lot: 78
PARCEL NUMBER: 940500077 Section: 13 Township: 30 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
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: PROPANE TANK, PIPE & S TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION
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
—Proximity - Plat Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 04/30/01 39999
Total: $48.00