HomeMy WebLinkAboutBLD2001-00278 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 #: BLD01-00278 Received Date 5/17/2001
SITE ADDRESS: 1071 FAIRMOUNT RD Issue Date 5/17/2001
PORT TOWNSEND, 98368 Expiration Date 5/17/2002
APPLICANT: RICH REID PHONE: 301-4187
SANDI REIS
1203 S DISCOVERY RD
PORT TOWNSEND WA 98368 T 1
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 902241001 Section: 24 Township: 29N 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, RICH REID PHONE: 301-4187
if different: SANDI REIS
1203 S DISCOVERY RD
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION PROPANE TANK, PIPE & 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 05/17/2002.
REQUIRED INSPECTIONS:
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/Line/Appliance: "'
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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
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
*INSTALLATION PERMIT APPLICATION
WOODSTOVE L PROPANE TANK PELLET STOVE \/ OTHER �/�O r0[ / .,��
SITE ADDRESS: 0 111
911#/ROAD NAME 1
tn�0'1( 616)11-
Nl 6-t -t, _ ct ZIP 9 C{'3 d'
9 DIGIT PARCEL ID NUMBER q Da- 0 1t/ Q 0 (
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT
�i` L J li `e--O PHONE
MAILING ADDRESS c)-0 I)
(SCOu� _
oc,) n. l l� S ZIP
PROPERTY OWNER�(�/{,� PHONE Sal • `-i/k 7
MAILING ADDRESS //
ZIP
CONTRACTOR Su.v1 .S M I h Q. P 20 P,a4_ PHONE a 8,-- 3-717
MAILING ADDRESS (0 !?S 3 RI-b it 0 2 ,
Pori- t4-1,1Yj L,o caC cJc. . ZIP 5 If 33
STATE LICENSE # StA VI s 1}p' O 7 7 Q P EXP. DATE 1 1 /
FEDERAL I.D. # 9,- l o q ? 8 s'7
APPLICANT SIGNATURE CLGG/-�- ,O( 4'- DATE o
FOR OFFICE USE ONLY
BASE FEE RECEIPT # 40(OT
CASH/CK # 94-04'14
TOTAL _ DATE j /I-7- /O r
H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98
' BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00278 Received Date: 5/17/2001
SITE ADDRESS: 1071 FAIRMOUNT RD
PORT TOWNSEND, 98368
APPLICANT: RICH REID PHONE: 301-4187
SANDI REIS
1203 S DISCOVERY RD
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot: T 1
PARCEL NUMBER: 902241001 Section: 24 Township: 29 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 & 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 xim,rty - I-'lat Conditions
Type Amount Paid By: Date: Receipt: Approveate
Propane Tanks/Stoves $48.00 MAM 05/17/01 40108
Total: $48.00