HomeMy WebLinkAboutBLD2001-00474 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 #: BLD01-00474 Received Date 8/20/2001
SITE ADDRESS: 261 MACHIAS LOOP Issue Date 8/21/2001
PORT LUDLOW, 98365 Expiration Date 8/21/2002
APPLICANT: RICHARD JOVAG PHONE: (360)437-2909
261 MACHIAS LOOP
PORT LUDLOW WA 98365
79
SUBDIVISION: PORT LUDLOW NO. 1 Block: Lot:
PARCEL NUMBER: 990400475 Section: 9 Township: 28N Range: 01E
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:
[ ] Tank/Line/Appliance: - /�? Ik L /31°3 If
j ] FinalApproval: 4)K -4 r O 7/ 03/(
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_Propa ne.rpt 10/29/19
BUILDING PERMIT APPLICATION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00474 Received Date: 8/20/2001
SITE ADDRESS: 261 MACHIAS LOOP
PORT LUDLOW, 98365
OWNER: RICHARD JOVAG PHONE: (360)437-2909
261 MACHIAS LOOP
PORT LUDLOW WA 98365
SUBDIVISION: PORT LUDLOW NO. 1 Block: Lot: 79
PARCEL NUMBER: 990400475 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: S uun5 1t Y1-e p bra n e PHONE:
PHONE:
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
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 08/20/01 30138
Total: $48.00
+JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE V PROPANE TANK PELLET STOVE OTHER
SITE ADDRESS: /
•
911#/ROAD NAME / Ccl�f'�(G� Zoo Jo
P c
. I-.lnGO4 3� /J4 . ZIP q, 6-5---
9 DIGIT PARCEL ID NUMBER 5 fo 6 a V7
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT // -A 'JaIAA_ !-- PHONE
MAILING ADDRESS ,S/A-
ZIP
PROPERTY OWNER api/( 6.414 PHONE /.J 7 90
MAILING ADDRESS
ZIP
CONTRACTOR SLu l S H I vl e.. P2-0 P A.-v.Q_ PHONE D 8,5-' 57q 7
MAILING ADDRESS (0 $5 3 RHra bj 0 2
Posy -i-RYj Lc, cd(._ , UN% • 0 ZIP 5cf33`l
STATE LICENSE # S(.t yl$I+A 07 7 Q p EXP. DATE l I /D'/ _
FEDERALI.D. # ci(_ I0a78s7
APPLICANT SIGNATURE a.l.44-c- - Ari-N ( DATE ef ,/ 74 , 0/
FOR OFFICE USE ONLY
BASE FEE • RECEIPT # 30\ 3 -6
DE C f U UM EC S CK # -R"Sts"
TOTAL
AUG 2 0 2001 $ /2):3,o r
H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98 ,I.iF- SO,i COi.N;Y
DEPT. OF COMMUNITY DEVELOPMENT