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HomeMy WebLinkAboutBLD2001-00442 • l 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 #: BLD01-00442 Received Date 8/3/2001 SITE ADDRESS: 174 THUNDER RD Issue Date 8/3/2001 PORT TOWNSEND, 98368 Expiration Date 8/3/2002 APPLICANT: BARB TRAILER PHONE: 301-1496 PO BOX 142 PORT TOWNSEND WA 98368 12 SUBDIVISION: MARIAH HEIGHTS Block: Lot: PARCEL NUMBER: 002125012 Section: 12 Township: 30N 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 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 08/03/2002. REQUIRED INSPECTIONS: [ ] ank, ine/Appliance: [ ] Fi na(Approval: T2J/< artlllp ()/� (P%2`/—o/ 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 #: BLD01-00442 Received Date: 8/3/2001 SITE ADDRESS: 174 THUNDER RD PORT TOWNSEND, 98368 OWNER: BARB TRAILER PHONE: 301-1496 PO BOX 142 PORT TOWNSEND WA 98368 SUBDIVISION: MARIAH HEIGHTS Block: Lot: 12 PARCEL NUMBER: 002125012 Section: 12 Township: 30 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 TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 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 Conditions Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $48.00 MAM 08/03/01 30000 Total: $48.00 BLnol- �uZ JEF,ERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST. PORT TOWNSEND WA 98368 PH: (360) 379-4450 INSTALLATION PERMIT APPLICATION V "Jp er oru-v'- t � ,�`b c / WOODSTOVE _X_PROPANE TANK PELLET STOVE OTHER SITE ADDRESS: 911#/ROAD NAME � C r� ZIP / 4_9 Q 9 DIGIT PARCEL ID NUMBER 00 - `c 5 ©j Legal Description: Subdivision Name Block Lot(s) Section Township North, Range WM APPLICANT _ �2DE-c�CsZy/ MAILING ADDRESS / /L/ C/�rt-'-r.-ele.i- ,kZ , i �i aZ��N1..z-� �/►/ ZIP .J i 6 j) PROPERTY OWNER PHONE MAILING ADDRESS ZIP CONTRACTOR SU.v1 s H In e P(2 p A#► -Q. PHONE 3 85- 5717 MAILING ADDRESS (O g 5 3 (.E{-O et 0 2 . Povrr N-flr3 Lo . LOA . ZIP icf 33`1 STATE LICENSE # SLR v1 Jfi-P-14. 107762P EXP. DATE l I / FEDERAL I.D. # 9 I- 10 4. '7' 8 S 7 APPLICANT SIGNATURE ,Qcr)-% DATE y / / / / FOR OFFICE USE ONLY BASE FEE • (� (� RECEIPT # 30000 D ?a c ,� O V�/J L5 ASH/CK # jOS TOTAL ATE / 3 /O t AUG - 3 2001 H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98 JEFF RSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT