HomeMy WebLinkAboutBLD2001-00434 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 #: BLD01-00434 Received Date 8/1/2001
SITE ADDRESS: 31 FREDERICKS ST Issue Date 8/1/2001
PORT TOWNSEND, 98368 Expiration Date 8/1/2002
APPLICANT: RANDY J POWERS PHONE: 360-385-1488
31 FREDRICKS ST
PORT TOWNSEND WA 98368
SUBDIVISION: EISENBEIS BAY VIEW Block: Lot:
PARCEL NUMBER: 948601801 Section: 16 Township: 30N Range: 01W
CONTRACTOR: MOUNTAIN PROPANE PHONE: (360)385-6883
265 CHIMACUM RD
PORT HADLOCK WA 98339
Contractor's License MOUNTPL994BH Expires 12/08/2001
OWNER, RANDY J POWERS PHONE: 360-385-1488
if different: 31 FREDRICKS ST
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION NO MLA REQ'D - PROPANE TANK
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 08/01/2002.
REQUIRED INSPECTIONS:
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[ F alApprov - a 1‹./$ AY( /44::A/ ‘
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
i:\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 #: BLD01-00434 Received Date: 8/1/2001
SITE ADDRESS: 31 FREDERICKS ST
PORT TOWNSEND, 98368
OWNER: RANDY J POWERS PHONE:
31 FREDRICKS ST
PORT TOWNSEND WA 98368
360-385-1488
SUBDIVISION: EISENBEIS BAY VIEW Block: Lot:
PARCEL NUMBER: 948601801 Section: 16 Township: 30 N Range: 01 W
CONTRACTOR: MOUNTAIN PROPANE PHONE: (360)385-6883
265 CHIMACUM RD
PORT HADLOCK WA 98339
Contractor's License MOUNTPL994BH Expires 12/08/2001
REPRESENTATIVE(S):
PROJECT DESCRIPTIO NO MLA REQ'D - PROPANE TANK
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION ADD'L: 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
Routing Date: F&W Landslide
( (Of Shoreline Aquifer
/ Forest: Commercial Rural
Pcaxm-wty Plat Conditions _
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 ZAN 08/01/01 30023
Total: $48.00
JEFFERSO'N COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE >C PROPANE TANK PELLET STOVE OTHER
SITE ADDRESS: _Q
911#/ROAD NAME 3 1 `jF�Y2`+�J7 r j c-
y� $
/ or-}/ lI7 / LA4 , ZIP 9'36C‹
9 DIGIT PARCEL ID NUMBER 9yg — 60/ — 70 a-
Legal Description:
Subdivision Name Block Lots)
Section Township North, Range WM
APPLICANT PHONE 360 -3' '6 tS 3
MAILING ADDRESS MJvintain_Propane
265 Chimacum Rd. ZIP
Port Hadlock, WA 98339 PROPERTY OWNER towto 'S PHONE ,_?gD " 3 IPSS.
MAILING ADDRESS ,�) /rtof/ ^./c, s/7; C'
?or 1 1-1• 4• ZIP 9 Z�j 36 7s
CONTRACTOR PHONE 360 ' 3gST-6 4SSs3
Mountain Propane
MAILING ADDRESS
Port Hadlock, WA 98339 ZIP
STATE LICENSE # /no yy/* pL 99q B,/ EXP. DATE /2 - $ - 0/
FEDERAL I.D. # 9/— o1a�5y15"•S
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_ S. / J / U/
FOR OFFICE USE ONLY ` 1^�
BASE FEE z/rop
RECEIPT# 3 OOC
i CASH/CK# ly
TOTAL /1/ DATE 6// / /
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