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HomeMy WebLinkAboutBLD2001-00378 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 #: BLD01-00378 Received Date 6/29/2001 SITE ADDRESS: 134 BRUSH PLANT RD Issue Date 6/29/2001 QUILCENE, 98376 Expiration Date 6/29/2002 APPLICANT: STEVE S SETEROFF PHONE: (360)765-3050 JOYCE SETEROFF PO BOX 847 QUILCENE WA 98376 T 151 SUBDIVISION: HAMILTON'S 5AC TRACTS Block: Lot: PARCEL NUMBER: 956100050 Section: 13 Township: 27N 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, if different: PROJECT DESCRIPTION NO MLA REQ'D - PIPES& HEATER 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 06/29/2002. REQUIRED INSPECTIONS: ( [ev Tank/Line/Appliance: ©.k 10 1. 0 [147 Fi na__._hppFaval: I D 1 01 � - 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 #: BLD01-00378 Received Date: 6/29/2001 SITE ADDRESS: 134 BRUSH PLANT RD QUILCENE, 98376 OWNER: STEVE S SETEROFF PHONE: (360)765-3050 JOYCE SETEROFF PO BOX 847 QUILCENE WA 98376 SUBDIVISION: HAMILTON'S 5AC TRACTS Block: Lot: T 151 PARCEL NUMBER: 956100050 Section: 13 Township: 27 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 REPRESENTATIVE(S): PROJECT DESCRIPTIO NO MLA REQ'D - PIPES & HEATER 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: 1 PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Floodplain Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural Proximity plat Conditions Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $48.00 MAM 06/29/01 28899 Total: $48.00 JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 1360) 379-4450 I INSTALLATION PERMIT APPLICATION • WOODSTOVE PROPANE TANK PELLET STOVE OTHER .� r ✓j i\-2 -3 /rei-' pip-ic SITE ADDRESS: 911#/ROAD NAME ( 3L 1 f,( l--- Pt.,,,_ „-\ 9 DIGIT PARCEL ID NUMBER ot S(,0 ( 00 0co ZIP �,376 Legal Description: Subdivision Name Block Lot(s) Section Township North, Range WM APPLICANT % / 1Ce-- _ e k a - ` -3a J-73 // ( PHONE / MAILING ADDRESS U () )y 7 - rot._,;.( ZIP 7 - c s PROPERTY OWNER 1 c-- PHONE MAILING ADDRESS ZIP CONTRACTOR Suvt s H In Q. P20 P A•r4-Q._ PHONE 3 8,c- .5717 MAILING ADDRESS IO 1753 Rl-i-a t V y 02 . PO,.-. V-- � 3 Lc c..4c , co • ZIP 5e33.1 STATE LICENSE # SLR vi S tf Pi( 07 7 Q P EXP. DATE 11 /01 _ FEDERAL I.D. # 91- 1 o g 7 8 s-7 APPLICANT SIGNATURE CC-G!./'c--- An-, 01,- ( DATE C7 J 7 / -% ( FOR OFFICE USE ONLY BASE FEE • (Z (r,� (r� o V (Z �G�9 9 (S lUi LS l5 [jCEIPT # .�-O SH/CK # `T 2 TOTAL JUN 2 9 2001 ATE ./23/ 0 /. JFFFERSON COUNTY DEPT. OF COMMUNITY OEVLLurMENT H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98