HomeMy WebLinkAboutBLD2001-00279 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 #: BLD01-00279 Received Date 5/17/2001
SITE ADDRESS: 1147 VAN TROJEN RD Issue Date 5/17/2001
CHIMACUM, 98325 Expiration Date 5/17/2002
APPLICANT: DON MORRIS PHONE: (360)732-7305
APRIL MORRIS
PO BOX 516
CHIMACUM WA 98325
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 901222009 Section: 22 Township: 29N 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 05/17/2002.
REQUIRED INSPECTIONS:
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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
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BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00279 Received Date: 5/17/2001
SITE ADDRESS: 1147 VAN TROJEN RD
CHIMACUM, 98325
APPLICANT: DON MORRIS PHONE: (360)732-7305
APRIL MORRIS
PO BOX 516
CHIMACUM WA 98325
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 901222009 Section: 22 Township: 29 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:
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 Ruralon I
Type Amount Paid By: Date: �rReceipt:a Approved/Date Conditions
Propane Tanks/Stoves $48.00 MAM 05/17/01 40107
Total: $48.00
Jtr--ERSON UNTY PERMIT CENTER 1 E IDA T PORT T WNSEND WA 8368 PH: 36 379-4450
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INSTALLATION PERMIT,APPLICATION
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WOODSTOVE X PROPANE TANK PELLET STOVE
OTHER
SITE ADDRESS: ! _
911#/RQAD NAME 1( �7 1 Teo
ZIP cl � 3 25
9 DIGIT PARCEL ID NUMBER 6 U( c/a,a 00
Legal Description:
Subdivision Name
Block Lot(s)_
Section Township North, Range WM
APPLICANT £ 11 L UI^I^
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MAILING ADDRESS I"O 0
Im .
ZIP__
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PROPERTY OWNER A (,l C
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r 0� PHONE
MAILING ADDRESS
ZIP
CONTRACTOR SU.n Si-) 1h Pap P _
PHONE 3 8,s-" 09 7
MAILING ADDRESS (0 $5 3 Q N-o p 02 .
PO en" N-AYO Lc) c-I c Lac. .
ZIP
STATE LICENSE # �� A, 0 7 7 Q P
EXP, DATE U1421 FEDERAL I.D. # 91- i0a7 $S7
APPLICANT SIGNATURE
' 01- DATE ,5 /�,�
FOR OFFICE USE ONLY
BASE FEE
RECEIPT # �d_
CASH/CK #
TOTAL
DATE Sin/
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