HomeMy WebLinkAboutBLD2001-00465 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 #: BLD01-00465 Received Date 8/14/2001
SITE ADDRESS: 3960 LINDSEY HILL RD Issue Date 8/14/2001
QUILCENE, 98376 Expiration Date 8/14/2002
APPLICANT: DENNIS JOYCE PHONE: (360)658-1025
JERILYN FRANCALANGIA
4419 126TH PL NE
MARYSVILLE WA 98271-8748 T 20
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 701321023 Section: 32 Township: 27N Range: 01W
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 -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 08/14/2002.
REQUIRED INSPECTIONS:
] Tank/Line/Appliance: Owl., 9 i 17/D 1
iFinalApproval: tit. ,kilttort,11,--N- % 1M �d I
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
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BUILDING PERMIT APPLICATION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00465 Received Date: 8/14/2001
SITE ADDRESS: 3960 LINDSEY HILL RD
QUILCENE, 98376
OWNER: DENNIS JOYCE PHONE: (360)658-1025
JERILYN FRANCALANGIA
4419 126TH PL NE
MARYSVILLE WA 98271-8748
SUBDIVISION: Block: Lot: T 20
PARCEL NUMBER: 701321023 Section: 32 Township: 27 N Range: 01 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 - PROPANE TANK INSTALLATION
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 Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 08/14/01 30093
Total: $48.00
R
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST;"PORT TOWNSEND WA 98368 PH: (360) 379-4450 `‘
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK PELLET STOVE OTHER
SITE ADDRESS: 39
(il G�
911#/ROAD NAME 0 G- S /�/�C ,�Q
i•ti ZIP 1 U 37c
9 DIGIT PARCEL ID NUMBER 17o V 3 a) j 0 0.
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT D et)h / 1 _w --- PHONE
MAILING ADDRESS 5 . )
s ill .;,0 I✓,//f i Lvi ii ZIP g ea/ 76
PROPERTY OWNER ( e'Q '-. PHONE - 6) 8 /6 -./,.-
MAILING ADDRESS c �j
ZIP
CONTRACTOR Skv1 5 N I n Q. Pais P t4Y,-Q_ PHONE 3 85.- 5-717
MAILING ADDRESS (O 2?S D 0 j 02 .
Poe-- f-k-AYJ L.O ( c L)c• • e,
ZIP S cf 3 3
STATE LICENSE # S(.l vl S +Ai( o 7 7 R P EXP. DATE I I /01
FEDERAL I.D. # 91- 1oct78S7
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APPLICANT SIGNATURE .l.(,U'-c._.• -0 cn-% ' 01,- l DATE j / !',1 / 67
FOR OFFICE USE ONLY
BASE FEE 7
ECEIPT # 300q3
SH/CK # S, 3
TOTAL AUG 1 4 aJ01 3 /l c--/Q
' rTfs 6 LAIN -
H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98 DEPT.OF COMMUNITY DEVELOPMENT