HomeMy WebLinkAboutBLD2001-00382 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 #: BLD01-00382 Received Date 7/2/2001
SITE ADDRESS: 1221 DABOB POST OFFICE RD Issue Date 7/3/2001
QUILCENE, 98376 Expiration Date 7/3/2002
APPLICANT: CARLOS QUINTANA PHONE: (360)765-3817
1221 DABOB PO RD
QUILCENE WA 98376
T5
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 701044010 Section: 4 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 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 07/03/2002.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance: 'RE"LoCA-rE$ Fga'A►.)c —1-At.IK Ok, ,(/7 03"VI/
[ ] ( FinalApproval: ) (X 003
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 #: BLD01-00382 Received Date: 7/2/2001
SITE ADDRESS: 1221 DABOB POST OFFICE RD
QUILCENE, 98376
OWNER: CARLOS QUINTANA PHONE: (360)765-3817
1221 DABOB PO RD
QUILCENE WA 98376
SUBDIVISION: Block: Lot: T 5
PARCEL NUMBER: 701044010 Section: 4 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
REPRESENTATIVE(S):
PROJECT DESCRIPTIO NO MLA REQ'D - 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:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 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 Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 07/02/01 28907
Total: $48.00
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE { PROPANE TANK PELLET STOVE ?()
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SITE ADDRESS: (
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9 DIGIT PARCEL ID NUMBER 7 Q t O L N 0 ( a
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
J
APPLICANT (2.1 r-t27 r,t qLktpl (dtkc, PHONE (� ) - 3`' i
l
MAILING ADDRESS •jI. Z-
ZIP
PROPERTY OWNER 6....r yya�.L c c PHONE '!
MAILING ADDRESS
ZIP
CONTRACTOR Sun S Hint_ P 20 p A .4_ PHONE 3 8S- 3717
MAILING ADDRESS (D i7 5 3 Qki-D toy 0 2 .
Por'r t!Pro Lo c.lc ZIP S d' 33`l
STATE LICENSE # StA V s Fl-p% o 7 7 Q p EXP. DATE l I /D'/ _
FEDERAL I.D. # 9 l- 10 g 7 8 s7
APPLICANT SIGNATURE aLGt.e-c•- ,Q(r)-, ' w ( DATE 6 / r /6-
FOR OFFICE USE ONLY
BASE FEE REfEIPT # 2Y O'�
RECEOWE [ SH/CK # -q y K 5
¢
TOTAL ` 1 , OD
JUL - 2 2001 TE �-/. 7 / G'
JEFFERSON COUNTY
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DEPT. OF COMMUNITY DEVELOPMENT