HomeMy WebLinkAboutBLD2001-00331 •
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 #: BLD01-00331 Received Date 6/8/2001
SITE ADDRESS: 200 BEACH DR Issue Date 6/8/2001
NORDLAND, 98358 Expiration Date 6/8/2002
APPLICANT: DALE BROWN PHONE: (360)385-0652
200 BEACH DR
NORDLAND WA 98358
5
SUBDIVISION: FULLER'S ACRES Block: Lot:
PARCEL NUMBER: 952200005 Section: 8 Township: 29N Range: 01 E
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 NO MLA REQ'D -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 06/08/2002.
REQUIRED INSPECTIONS:
[ 41ine/Appliance: r te)„ _ 6'' Z"0/
[4'7'FinalApproval: 01‹ 6-6-7- a
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 Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00331 Received Date: 6/8/2001
SITE ADDRESS: 200 BEACH DR
NORDLAND, 98358
APPLICANT: DALE BROWN PHONE: (360)385-0652
200 BEACH DR
NORDLAND WA 98358
SUBDIVISION: FULLER'S ACRES Block: Lot: 5
PARCEL NUMBER: 952200005 Section: 8 Township: 29 N Range: 01 E
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2001
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: NO MLA REQ'D - PROPANE TANK 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 ximity - Flat Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 06/08/01 28444
Total: $48.00
it FFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE \ PROPANE TANK PELLET STOVE OTHER
SITE ADDRESS:
911#/ROAD NAME Oc} Ae
!U OIL°Le, Q C ZIP
9 DIGIT PARCEL ID NUMBER %5 00 ooc-
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT �.i'C-� �.. j�.�
� PHONE ICJ J D 61Z--
MAILING ADDRESS cZ_
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PROPERTY OWNER Z6 `a! PHONE
MAILING ADDRESS
ZIP
CONTRACTOR Sun S H I nQ_ P2-O p PHONE ,571 7
MAILING ADDRESS I D $$'3 (ZE.}0 0 j 0 2 ,
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STATE LICENSE # Su v1 s}E P ( O 7 7 Q p EXP. DATE I I /
FEDERALI.D. # Gil- I0178S7
APPLICANT SIGNATURE AO-% !� DATE / /
•
FOR OFFICE USE ONLY
BASE FEE
i� f1 �} RECEIPT # 2g4 LiLt
V lr� j `GA;H/CK # 9-4(00
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TOTAL '
,DATE / / �I
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