HomeMy WebLinkAboutBLD2001-00473 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 #: BLD01-00473 Received Date 8/20/2001
SITE ADDRESS: 232 FERN WAY Issue Date 8/21/2001
CHIMACUM, 98325 Expiration Date 8/21/2002
APPLICANT: JEFFERSON COUNTY PHONE: (360)385-9160
DEPT OF PUBLIC WORKS
PO BOX 2070
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 901113007 Section: 11 Township: 29N 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 08/21/2002.
REQUIRED INSPECTIONS:
[ ] dLine/Appliance:OK'f and -
[1]., f FinalApproval: 0 6-1— cy
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 #: BLD01-00473 Received Date: 8/20/2001
SITE ADDRESS: 232 FERN WAY
CHIMACUM, 98325
OWNER: JEFFERSON COUNTY PHONE: (360)385-9160
DEPT OF PUBLIC WORKS
PO BOX 2070
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 901113007 Section: 11 Township: 29 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
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 08/20/01 30137
Total: $48.00
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 1360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE / PROPANE TANK PELLET STOVE OTHER
SITE ADDRESS:
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911#/ROAD NAME
him�toy, t,A ZIP q4K3.25
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9 DIGIT PARCEL ID NUMBER 0 1 - It )`� - 0 ° 9
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT Y % W . 6 W4 t) PHONE 3 gS 9/6 U
MAILING ADDRESS / 4419A 44-0 749 9/Z91
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PROPERTY OWNER PHONE
MAILING ADDRESS
ZIP
CONTRACTOR SU.V1 S N InQ. P2O9A-4LR_ PHONE 38,5-' S717
MAILING ADDRESS (O $S 3 RIB 0 0 2 .
Pori- f4-19YO L,o Uc ,, Lc. . e
ZIP 533`l
STATE LICENSE # S(.t vt j +P 07 7 Q P EXP. DATE I I /D'/
FEDERALI.D. # 91- Iog78s7
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APPLICANT SIGNATURE a. --cam "AO-% 01,- ( DATE / /C / 6/
FOR OFFICE USE ONLY
BASE FEE • RECEIPT # .;01 3 -
lECEOVEDSH/CK
# 151 (p
TOTALITE '3 /aa/�
MG 2031
H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98
JEFFERSON COUNTY
DEPT.OF COMMUNITY DEVELOPMENT