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HomeMy WebLinkAboutBLD2001-00408 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 #: BLD01-00408 Received Date 7/16/2001 SITE ADDRESS: 1545 THORNDYKE RD Issue Date 7/17/2001 PORT LUDLOW, 98365 Expiration Date 7/17/2002 APPLICANT: ROBERT S WINSLOW PHONE: (360)437-1207 REBECCA J WINSLOW 1545 THORNDYKE RD PORT LUDLOW WA 983658221 17,18 SUBDIVISION: TRAILS END HOMESITES Block: 3 Lot: PARCEL NUMBER: 950100317 Section: 16 Township: 27N Range: 01E CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420 PO BOX 1031 PORT TOWNSEND WA 98368 Contractor's License PETTIOCO88CC Expires 05/01/2002 OWNER, ROBERT S WINSLOW PHONE: (360)437-1207 if different: REBECCA J WINSLOW 1545 THORNDYKE RD PORT LUDLOW WA 983658221 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 07/17/2002. REQUIRED INSPECTIONS: [ ] Tank/Line/Appliance: [ ] FinalApproval: f;j.< 1 wtA'o 7.? —17f-0) 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 #: BLD01-00408 Received Date: 7/16/2001 SITE ADDRESS: 1545 THORNDYKE RD PORT LUDLOW, 98365 OWNER: ROBERT S WINSLOW PHONE: (360)437-1207 REBECCA J WINSLOW 1545 THORNDYKE RD PORT LUDLOW WA 983658221 SUBDIVISION: TRAILS END HOMESITES Block: 3 Lot: 17,18 PARCEL NUMBER: 950100317 Section: 16 Township: 27 N Range: 01 E CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420 PO BOX 1031 PORT TOWNSEND WA 98368 Contractor's License PETTI00088CC Expires 05/01/2001 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 07/16/01 29127 Total: $48.00 JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND lip 8 8 S: 083l44INSTALLATION PERMIT APPLICATION JUL 16 20D1 4. WOODSTOVE `X PROPANE TANK PELLET STOVE OTHER i SITE ADDRESS: JEFFERSON COUNTY 911#/ROAD NAME 54 T(( . w • DEPT.sOF COMMUNITY DEVELOPMENT ZIP gfJ3fvG' 9 DIGIT PARCEL ID NUMBER ot 5o ' 0O •' 3 4-3- Legal Description: Subdivision Name k Block 3 Lotls) 7 Section Township North, Range WM APPLICANT PHONE MAILING ADDRESS ZIP PROPERTY OWNER UJ I N SLOW PHONE J--4'7- (,ZO`"� MAILING ADDRESS r1�L}4 2•Ns C)� 't- - L-Pik--O LO ZIP qg3ep CONTRACTOR -f' - 1-1'j 0 l L� PHONE �(,,,(�-� - Imo}-Zt� MAILING ADDRESS ` ( 1 ZIP ciG e STATE LICENSE# EXP. DATE FEDERAL I.D. # By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments, court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and it's employees, representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. APPLICANT SIGNATURE DATE /J c / ©) FOR OFFICE USE ONLY BASE FEE RECEIPT# '„q().-4 CASH/CK# 1?,42 TOTAL Ual) DATE / V,/0 1 H:\HOME\PLNCNTR\FORMS\INSTALL.DO 10/99