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HomeMy WebLinkAboutBLD2001-00425 f 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 #: BLD01-00425 Received Date 7/27/2001 SITE ADDRESS: 320 SUNSHINE RD Issue Date 7/27/2001 SEQUIM, 98382 Expiration Date 7/27/2002 APPLICANT: CHARLES F BACHMANN PHONE: 797-7330 320 SUNSHINE RD SEQUIM WA 98382 13 SUBDIVISION: RONDELAY MEADOWS Block: Lot: PARCEL NUMBER: 991900013 Section: 28 Township: 30N Range: 02W CONTRACTOR: SUBURBAN PROPANE PHONE: 385-5096 P 0 BOX 989 PORT TOWNSEND WA 98368 Contractor's License SUBURPL044DA Expires 03/01/2002 OWNER, if different: PROJECT DESCRIPTION PROPANE TANK AND PROPANE STOVE 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 07/27/2002. REQUIRED INSPECTIONS: [ .;:;Ca—rtne/Applianc ®/G d30/ 52Z/2 • Fi nalApprova. ��� ��3 C� 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 #: BLD01-00425 Received Date: 7/27/2001 SITE ADDRESS: 320 SUNSHINE RD SEQUIM, 98382 OWNER: CHARLES F BACHMANN PHONE: 797-7330 320 SUNSHINE RD SEQUIM WA 98382 SUBDIVISION: RONDELAY MEADOWS Block: Lot: 13 PARCEL NUMBER: 991900013 Section: 28 Township: 30 N Range: 02 W CONTRACTOR: SUBURBAN PROPANE PHONE: 385-5096 P 0 BOX 989 PORT TOWNSEND WA 98368 Contractor's License SUBURPL044DA Expires 03/01/2002 REPRESENTATIVE(S): PROJECT DESCRIPTIO PROPANE TANK AND PROPANE STOVE 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 Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural Proximity Plat Conditiont Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $48.00 ZAN 07/27/01 30010 Total: $48.00 JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST. PORT TOWNSEND WA 983_6$ PH: 1360) 379-4450 INSTALLATION PERMIT APPLICATION y6.-i, WGQ STOVE PROPANE TANK PELLET STOVE OTHER SITE ADDRESS: 911#/ROAD NAME ' �© V itS k\le P4 Sp. ')`c..,;✓r\ / Lt..) A ZIP yR 8 9 DIGIT PARCEL ID NUMBER CO 1 q 9 D ^ ® t J I Legal Description: Subdivision Name Block Lot(s) Section Township North, Range WM APPLICANT (_ Dt PVT ikrr PHONE SS--.COP, MAILING ADDRESS 2_ .E,. ,\-v\ ' i Lam` A • ZIP 98 3�'`8 PROPERTY OWNER 011 I,Q __ j e -�1 rvi Pm PHONE 6go) 7q7- 2s30 MAILING ADDRESS 3 7E) S JetStn 3klP Q . L11'`1 L .) A ZIP 6'3 2 CONTRACTOR Jt�� 6'ti5ryk P9M?tE PHONE �S- � 1 - MAILING ADDRESS G- Y i . 1 LV A D ZIP 9 4 STATE LICENSE # n U[�O (.iL 0 V'/ I EXP. DATE 3/O 2 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 7 / Z 7/ D/ FOR OFFICE USE ONLY BASE FEE ! iN RECEIPT# 3O0 CASH/CK# 40Jc , TOTAL if,, CA) DATE 11 ' H:\H OM E\PLN CNTR\FORMS\INSTALL.DO C 10/99