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BLD2001-00291
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 #: BLD01-00291 Received Date 5/22/2001 SITE ADDRESS: 44 BLUE HILL CT Issue Date 5/22/2001 PORT TOWNSEND, 98368 Expiration Date 5/22/2002 APPLICANT: NOBLE 0 JOHNSTON PHONE: ELANOR M JOHNSTON 44 BLUE HILL CT PORT TOWNSEND WA 983689208 13 SUBDIVISION: DISCOVERY RIDGE DIV III Block: Lot: PARCEL NUMBER: 001195113 Section: 19 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, NOBLE 0 JOHNSTON PHONE: if different: ELANOR M JOHNSTON 44 BLUE HILL CT PORT TOWNSEND WA 983689208 PROJECT DESCRIPTION PROPANE TANK 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 05/22/2002. REQUIRED INSPECTIONS: [kir dftLine/Appliance: i t/(e C—"� Ot' T U(< 5/( (c zdi2dOK: [ ..r.v_ . V C ( © ��� 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 #: BLD01-00291 Received Date: 5/22/2001 SITE ADDRESS: 44 BLUE HILL CT PORT TOWNSEND, 98368 APPLICANT: NOBLE 0 JOHNSTON PHONE: ELANOR M JOHNSTON 44 BLUE HILL CT PORT TOWNSEND WA 983689208 SUBDIVISION: DISCOVERY RIDGE DIV III Block: Lot: 13 PARCEL NUMBER: 001195113 Section: 19 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 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: 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 COld tions Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $48.00 PRB 05/22/01 40161 Total: $48.00 JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 13601 379-4450 INSTALLATION PERMIT APPLICATION 1N3Wd013A30,llINnWWOo 30 1d30 /llNnoo NOS83333r WOODSTOVE (V. PROPANE TANK PELLET STOVE OTHER r-n fi - tOO? Z Z PM • SITE ADDRESS: 911#/ROAD NAME Liq 81_14e_ i(AL, aa- AllaoEt. Pi j 6(A �5�10 1 fl- ZIP (CA 9 DIGIT PARCEL ID NUMBER 00 1 I q j I i Legal Description: Subdivision Name Block Lot(s) Section Township North, Range WM APPLICANT N ob(°l_ Joi/in -(--Dr _ PHONE 85 (-0(5 MAILING ADDRESS 6 a( (J ' I el 4-v— g.1 CI . ( 0 .311 S'e-AAA0� /Ak- ZIP /e)6e PROPERTY OWNER ° " C- PHONE MAILING ADDRESS ZIP CONTRACTOR Suvl s N In .. P(2o 9# %' Q_ PHONE 3 8,-- 3"71 7 MAILING ADDRESS 10 !?53 Ri-i-0 it 02 . Po,"r f Lo c..lc, L4.)e% • '' ZIP 5 cr 33 1 STATE LICENSE # SLAvi.Sti-PtKo77QP EXP. DATE 11 /0'/ _ FEDERAL I.D. # 91- 10 a T 8 s1 APPLICANT SIGNATURE a.. (.../"6--- ,Ocn^N / ( DATE ,j / c./a / .(I /�� FOR OFFICE USE ONLY BASE FEE Gr0 RECEIPT # 401 Cj 1 CASgr) -76— TOTAL ��S' DATE S—/ZZ/ © I P � H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98