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HomeMy WebLinkAboutBLD2001-00692 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 #: BLD01-00692 Received Date 12/17/2001 SITE ADDRESS: 1020 BECKETT POINT RD Issue Date 12/18/2001 PORT TOWNSEND, 98368 Expiration Date 12/18/2002 APPLICANT: BECKETT POINT FISHERMEN'S CLUB PHONE: % DAVID G GOODING 1806 FOSTER ST PORT TOWNSEND WA 98368-5717 38 SUBDIVISION: BECKETT POINT SOUTH BEACH AN Block: Lot: PARCEL NUMBER: 931970007 Section: 23 Township: 30N Range: 02W CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420 PO BOX 1031 PORT TOWNSEND WA 98368 Contractor's License PETTI00088CC Expires 05/01/2002 OWNER, BECKETT POINT FISHERMEN'S CLUB PHONE: if different: % DAVID G GOODING 1806 FOSTER ST PORT TOWNSEND WA 98368-5717 PROJECT DESCRIPTION NO MLA REQ'D - PROPANE TANK INSTALLATION V— 57Q 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 12/18/2002. REQUIRED INSPECTIONS: nk/Line/Applian G ,- /z '4 / 4,. nalApproval ®lam l,/Zetcn/ L-�7 BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY is\F_BLD_Permit_Propane.rpt 10/29/19 2 BUILDING PERMIT APPLICATION BeDOw Typ e: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00692 Received Date: 12/17/2001 SITE ADDRESS: 1020 BECKETT POINT RD PORT TOWNSEND, 98368 OWNER: BECKETT POINT FISHERMEN'S CLUB PHONE: % DAVID G GOODING 1806 FOSTER ST PORT TOWNSEND WA 98368-5717 SUBDIVISION: BECKETT POINT SOUTH BEACH AN Block: Lot: 38 PARCEL NUMBER: 931970007 Section: 23 Township: 30 N Range: 02 W CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420 PO BOX 1031 PORT TOWNSEND WA 98368 Contractor's License PETTIOCO88CC Expires 05/01/2002 REPRESENTATIVE(S): KATHY POOL 806 FOSTER ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTIO NO MLA REQ'D - PROPANE TANK INSTALLATION et— 5 © tf 6 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 F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural Proximity Plat Condition:. Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves Li8 $@fie-MAM 12/18/01 H3Fs l2_ Total: $0.00 JEFFERSON COUNTY COMMUNITY DEVELOPMENT,621 SHERIDAN ST,PORT TOWNSEND WA 98368 PH: (360)379-4450 INSTALLATION PERMIT APPLICATION WOODSTOVE `' PROPANE TANK PELLET STOVE OTHER Is this appliance(htg stove, hot water tank,furnace,etc.)to be installed in a Manufactured/Mobile Home? YES 1---I46 SITE ADDRESS(911#/Road Name): ID2ND Be.ot ezt et,,,,t- R0,- A P� I VVUf S ' w4. ZIP Q(3( 8 9 DIGIT PARCEL ID NUMBER 931 7 'Iu 00 ^ Legal Description: Subdivision Name � �ci.�"2 Pt'14- 6'ddi.ill_,�;/�� 47'1,1t5( Block Lot(s) 37 94-3 dC/ Section Township North, Range WM Ka /14_-APPLICANT ?OO I PHONE , Q 5 - 4 t�` 442_ MAILING ADDRESS 00(49 a F'DS-M J}1'- Pa\ -To wits.1-", WA-, ZIP q0 36 r PROPERTY OWNER Kedik , Pla I $kite.. EnK PHONE ,5 d 5- T V4) MAILING ADDRESS 666 � �c�tcie`, ' 931- /� (/ / �/ ?O-1 / UaMs -`-ti" Ou�f ZIP 9D 3IP 0 CONTRACTOR _ r 7 1 Oi &/ /tL \/ PHONE 3 S'5 -/ )- MAILING ADDRESS r J yl . 0-6, /� (,3v/ 7'I .l l.0 4l W W . ZIP 9 (5 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. ' ') r APPLICANT SIGNATURE DATE / / /3 / 6)/ FOR OFFICE USE ONLY BASE FEE D I C t O U�n 1E EIPT# Li'3 I -a ' i .._.. _ ". SH/CK# 5(Z.9 "'j TOTAL g 'c E I- /I - /0( H:\HOME\PLNCNTR\INFOBLDG\FORMS\INSTALL.DOC11/05/01 J.:I'.-.:,rJ J,a v...,ii,Y_+ DEPT.OF COMMUNITY DEVELOPMENT