HomeMy WebLinkAboutBLD2001-00347 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 #: BLD01-00347 Received Date 6/14/2001
SITE ADDRESS: 192 JAKEWAY RD Issue Date 6/14/2001
QUILCENE, 98376 Expiration Date 6/14/2002
APPLICANT: JAN DUPONT PHONE: (360)765-3629
194 JAKEWAY RD
QUILCENE WA 98376-9531 1'$ 3o30
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 701184002 Section: 18 Township: 27N 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 NO MLA REQ'D - PROPANE TANK& GAS PIPE 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 06/14/2002.
REQUIRED INSPECTIONS:
[ ) Tank/Lin Appliance: '1,Q Q)
[ FinalApproval: t'1=47111A T G t✓ � f` ,bi7'"ett, � �
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_Perm it_Propane.rpt 10/29/19
BUILDING PERMIT APPLICATION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00347 Received Date: 6/14/2001
SITE ADDRESS: 192 JAKEWAY RD
QUILCENE, 98376
APPLICANT: JAN DUPONT PHONE: (360)765-3629
194 JAKEWAY RD
QUILCENE WA 98376-9531
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 701184002 Section: 18 Township: 27 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: NO MLA REQ'D - PROPANE TANK & GAS PIPE INSTALLATION
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION ADDI: 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 Ruralgq
Type Amount Paid By: Date: �rRecei�pt: Ay ppro Conditions
Propane Tanks/Stoves $48.00 MAM 06/13/01 28462
Total: $48.00
J}FFERSON COUNTY PERMIT CENTER, 621 SHERIDAN.T, PORT TOWNSEND WA 98368 PH: 1360) 379-4450
INSTALLATION PERMIT APPLICATION
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Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT C J 6 4 --I ��
PHONE7 7
MAILING ADDRESS /q.q ?lic,„..sirl___7 `
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PROPERTY OWNERcA
PHONE
MAILING ADDRESS l(
ZIP
CONTRACTOR Sufi s H I n Q. P2o P Axe_ PHONE 3 8 - 5717
MAILING ADDRESS 1011753 (ZN-o a j 0 2 .
Po,rr (4-Ar3 L..o c_ic... (..Je, . f.
ZIP 5 cf 33 1
STATE LICENSE # SLl V1 S tE P.. 0 7 7 Q p EXP. DATE 11 /01
FEDERAL I.D. # 9 l- 1 O q 7 8 S 1
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APPLICANT SIGNATURE `LGGd'-c--- 4JY- 01, e DATE 6 / 7( /o
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FOR OFFICE USE ONLY
BASE FEE • RECEIPT # 2Z 4-1(2 2_
CASH/CK # 3 V I U--t
TOTAL
JUN 1 3 2001 DATE 6/ 1 3/ ()I
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