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HomeMy WebLinkAboutBLD2001-00448 • 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 #: BLD01-00448 Received Date 8/7/2001 SITE ADDRESS: 252 MYRTLE ST Issue Date 8/7/2001 PORT TOWNSEND, 98368 Expiration Date 8/7/2002 APPLICANT: LAMBERT F ELIEL PHONE: (360)379-2696 252 MYRTLE ST PORT TOWNSEND WA 98368 25 SUBDIVISION: OCEAN GROVE ESTATES#2 Block: 6 Lot: PARCEL NUMBER: 977100618 Section: 24 Township: 30N Range: 02W CONTRACTOR: MOUNTAIN PROPANE PHONE: (360)385-6883 265 CHIMACUM RD PORT HADLOCK WA 98339 Contractor's License MOUNTPL994BH Expires 12/08/2001 OWNER, LAMBERT F ELIEL PHONE: (360)379-2696 if different: 252 MYRTLE ST PORT TOWNSEND WA 98368 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 08/07/2002. REQUIRED INSPECTIONS: [ ] Tank/Line/Appliance: [ ] FinalApproval: 7 NK 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 #: BLD01-00448 Received Date: 8/7/2001 SITE ADDRESS: 252 MYRTLE ST PORT TOWNSEND, 98368 OWNER: LAMBERT F ELIEL PHONE: (360)379-2696 252 MYRTLE ST PORT TOWNSEND WA 98368 SUBDIVISION: OCEAN GROVE ESTATES#2 Block: 6 Lot: 25 PARCEL NUMBER: 977100618 Section: 24 Township: 30 N Range: 02 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 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: 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 Shoreline Aquifer Forest: Commercial Rural Proximity Plat Conditions Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $48.00 MAM 08/07/01 30070 Total: $48.00 JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (3601 379-4450 INSTALLATION PERMIT APPLICATION WOODSTOVE `../ PROPANE TANK PELLET STOVE OTHER SITE ADDRESS: 911#/ROAD NAME �"1 r? ZIP 3 Co E 9 DIGIT PARCEL ID NUMBER 91-4 • 100 . 61 Legal Description: _ Subdivision Name Block 17) Lot(s) Section Township North, Range WM APPLICANT k ( L L I C PHONE , 26 MAILING ADDRESS ZIP PROPERTY OWNER '�1 L" PHONE MAILING ADDRESS ZIP CONTRACTOR 1-2,2OGG4T, PHONE MAILING ADDRESS ZIP 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 ( / / /c) FOR OFFICE USE ONLY BASE FEE L{ j'' UV RECEIPT# 30030 ry CASH/CK# 3 TOTAL L4 O© .CTV �r ! C H:\HOME\PLNCNTR\FORMS\INSTALL.DOC10/99 r 7 iom JEFFERSON COUNTY DEPT. OF COMMUNITY DEVELOPMENT