HomeMy WebLinkAboutBLD2001-00523 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 #: BLD01-00523 Received Date 9/17/2001
SITE ADDRESS: 480 OLYMPUS BLVD Issue Date 9/17/2001
PORT LUDLOW, 98365 Expiration Date 9/17/2002
APPLICANT: NANCY SCHNEIDER PHONE: 437-2802
480 OLYMPUS BLVD
PORT LUDLOW WA 98365
22-23
SUBDIVISION: OLYMPUS BEACH Block: Lot:
PARCEL NUMBER: 978900015 Section: 4 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,
if different:
PROJECT DESCRIPTION PROPANE TANK--NO MLA RQRD
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 09/17/2002.
REQUIRED INSPECTIONS:
[ ] Tan ine/Appliance: ` _ 12_ /3—2 -z--_
[ ] FinalApproval: L artT 4-11 uc' a.- 13_e..),,
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
i:1F_BLD_Permit_Propane.rpt 10/29/19
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BUILDING PERMIT APPLICATION BR vi w Typ e:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00523 Received Date: 9/17/2001
SITE ADDRESS: 480 OLYMPUS BLVD
PORT LUDLOW, 98365
OWNER: NANCY SCHNEIDER PHONE: 437-2802
480 OLYMPUS BLVD
PORT LUDLOW WA 98365
SUBDIVISION: OLYMPUS BEACH Block: Lot: 22-23
PARCEL NUMBER: 978900015 Section: 4 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 PROPANE TANK--NO MLA RQRD
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: q(1 7 ®l RR?
Shoreline Aquifer
Forest: Commercial Rural
Proximity, Plat Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 PRB 09/17/01 30231
Total: $48.00
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JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST,IPORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION [� C C
Ut)c Qc
WOODSTOVE PROPANE TANK PELLET STOVE OTHER JEP 1 7 2001 \B
SITE ADDRESS: �f O o e..L 1< �
911#/ROAD NAME 1 f �, JEFFERSON COUNTY
Fr �l q� DEP . I 11 pr PMENT
^ ZIP
9 DIGIT PARCEL ID NUMBER Y
17 100 tC5
Legal Description:
Subdivision Name Block
Lot(s)
Section Township North, Range WM
APPLICANT (6(-- ll"-6 cx 5 )16-4 5com GIQL PHONE
3 -028761_
MAILING ADDRESS � Lk
ZIP
PROPERTY OWNER t C- J� / r
PHONE
MAILING ADDRESS
ZIP
CONTRACTOR SI.IV) S H I+')Q. P20(> _
PHONE 3 ES"' 579 7
MAILING ADDRESS (0 Q 5 3 RI4-0 0 y 02 .
Parr 1.4-11,3 Lc) c.Ic. CJa . 0
ZIP 5 33 1
STATE LICENSE # SLlVISHfP 077Qp
EXP. DATE l I O'/
FEDERALI.D. # 91- log78S'7
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APPLICANT SIGNATURE I^-c� ,Q
� Jy.N ' 01,- e
K.a.. DATE / r / 17 / C(
FOR OFFICE USE ONLY
BASE FEE -_..—
RECEIPT # 2 5 I.
S/
DATE CASH/CK # '�5�55
TOTAL -----4eY-- 9 / 1 lw/Q f
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