HomeMy WebLinkAboutBLD2001-00537 BUILDING PERMIT APPLICATION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00537 Received Date: 9/25/2001
SITE ADDRESS: 20 MAPLE LN
PORT LUDLOW, 98365
OWNER: WILLIAM B STREAM PHONE: (360)437-9226
20 MAPLE LN
PORT LUDLOW WA 98365
SUBDIVISION: NORTH LUDLOW BEACH Block: Lot: 9
PARCEL NUMBER: 976500008 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 & STOVE 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 Condition,;
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 09/25/01 30387
Total: $48.00
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 #: BLD01-00537 Received Date 9/25/2001
SITE ADDRESS: 20 MAPLE LN Issue Date 9/25/2001
PORT LUDLOW, 98365 Expiration Date 9/25/2002
APPLICANT: WILLIAM B STREAM PHONE: (360)437-9226
20 MAPLE LN
PORT LUDLOW WA 98365
9
SUBDIVISION: NORTH LUDLOW BEACH Block: Lot:
PARCEL NUMBER: 976500008 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 NO MLA REQ'D - PROPANE TANK&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 09/25/2002.
REQUIRED INSPECTIONS:
[ ]C-- _k/Line/Appliance /,2-6-O Zr
[ ] FinalApproval: /,,2-6--Oz
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
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
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WOODSTOVE IV�OPANE TANK PELLET STOVE 1' OTHER (/I/'
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SITE ADD
RESS:
911#/ROAD NAME (_ 2-TD ibic ,,,,6_CY44, --)
ZIP 9?3c5
9 DIGIT PARCEL ID NUMBER CI ri 6 SV O 0 Q ;)
Legal Description:
Subdivision Name Block
Lot(s)
Section Township North, Range WM
APPLICANT fi ' 3 b r S �e _
PHONE �2j 7 G,:),a
MAILING ADDRESS A
ZIP
PROPERTY OWNER lde2c_ PHONE &67.Le1
MAILING ADDRESS
ZIP
CONTRACTOR SLLv1 s H I n Q. P20 p _ PHONE 3 8,5"-- 37q 7
MAILING ADDRESS (0 g S 3 RFC Ipj 0 2 .
Po,�T- H-lro L.c uc c & . ZIP 5 Q0 33
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STATE LICENSE # SLlv1Si-P% 077QP
EXP. DATE ! 1 /O-/
FEDERAL I.D. # yl_ IC) p7US7
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APPLICANT SIGNATURE ,/ ..(�,r-c-„ I
'�� � � l DATE / / (
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FOR OFFICE USE ONLY
F
BASE FEE D E , F EI VI IE IPT # 30 6-q"
C H/CK # LA ?j
TOTAL 1+8 ,. SEP 2 5 2001 -' G, /25/ a
DEPT. OFJCOMMUNITY DEVELOPMENT
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