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HomeMy WebLinkAboutBLD2001-00494 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 #: BLD01-00494 Received Date 8/29/2001 SITE ADDRESS: 62 FAIRWIND CT Issue Date 8/30/2001 PORT LUDLOW, 98365 Expiration Date 8/30/2002 APPLICANT: GLENN GWYNN PHONE: (360)437-4033 62 FAIRWIND CT PORT LUDLOW WA 98365 5 SUBDIVISION: LUDLOW POINT VILLAGE DIV 1 Block: Lot: PARCEL NUMBER: 969400005 Section: 16 Township: 28N Range: 01 E CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP*077QP Expires 11/17/2001 OWNER, GLENN GWYNN PHONE: (360)437-4033 if different: 62 FAIRWIND CT PORT LUDLOW WA 98365 PROJECT DESCRIPTION NO MLA REQ'D - PROPANE HEAT STOVE 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 08/30/2002. REQUIRED INSPECTIONS: [ ] Tank/Line/Appliance: 114 g//3/BL ft [ ] FinalApproval: rlfe 8//3/92Alv A teiL 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 #: BLD01-00494 Received Date: 8/29/2001 SITE ADDRESS: 62 FAIRWIND CT PORT LUDLOW, 98365 OWNER: GLENN GWYNN PHONE: (360)437-4033 62 FAIRWIND CT PORT LUDLOW WA 98365 SUBDIVISION: LUDLOW POINT VILLAGE DIV 1 Block: Lot: 5 PARCEL NUMBER: 969400005 Section: 16 Township: 28 N Range: 01 E 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 HEAT STOVE 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 08/28/01 30174 Total: $48.00 1, JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 1360) 379-4450 INSTALLATION PERMIT APPLICATION WOODSTOVE PROPANE TANK PELLET STOVE OTHER di/ !J -01 SITE ADDRESS: , �fi 911#/ROAD NAME Co1 a -i rh(� P/I_ G 1- ULoc_.) W � ZIP / 9 DIGIT PARCEL ID NUMBER j& I 11 U 0 Q Cs- Legal Description: Subdivision Name Block Lot(s) Section Township North, Range WM APPLICANT PHONE 7 70 33 MAILING ADDRESS `"- ZIP PROPERTY OWNER 6 -e'(--" PHONE 1-3 7- g© MAILING ADDRESS ZIP CONTRACTOR SL v S N I n t_ 10R-0 9 1 -IlL PHONE 3 8 - 57/7 MAILING ADDRESS (0 2153 RN-a o�y 0 2. PO v"r (•t-AY0 L.a c `CJ CJi. • ZIP 5 e33 ct STATE LICENSE # SCAV1SH-p* p77Qp EXP. DATE l I /01 FEDERAL I.D. # 9 l- 10 R 7 8 S-7 APPLICANT SIGNATURE u-(..- A!), J 7/ c/ DATE / D O OECCESS1eVY-E BASE FEE - �� RECEIPT # 3(?I T, ,rave2 8 2001 1 CASH/CK # TOTAL Ef RSON 3tiN rY DATE Z/7,5 /O� DEPT. OF COMMUNITY DEVELOPMENT H:1HOM E\PLNCNTR\FORMS\INSTALL.DOC4/98