HomeMy WebLinkAboutBLD2001-00538 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 #: BLD01-00538 Received Date 9/25/2001
SITE ADDRESS: 204 WILDWOOD RD Issue Date 9/25/2001
QUILCENE, 98376 Expiration Date 9/25/2002
APPLICANT: JIM DEMILE PHONE: 542-8077
17000 AURORA AVE N
SEATTLE WA 98133
52
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 702113002 Section: 11 Township: 27N Range: 02W
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
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:
[ ] Tank/Line/Appliance:
[ ] FinalApproval: rM-'i� p / /2.-3_0 z_
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
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BUILDING PERMIT APPLICATION BR v ew Typ e:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00538 Received Date: 9/25/2001
SITE ADDRESS: 204 WILDWOOD RD
QUILCENE, 98376
OWNER: JIM DEMILE PHONE: 542-8077
17000 AURORA AVE N
SEATTLE WA 98133
SUBDIVISION: Block: Lot: 52
PARCEL NUMBER: 702113002 Section: 11 Township: 27 N Range: 02 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 PROPANE TANK
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:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: 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: /�/Z�-/o 0/ fp Shoreline Aquifer
vac Forest: Commercial Rural
Proximity Plat Condition&
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 PRB 09/25/01 30452
Total: $48.00
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK PELLET STOVE OTHER / tJ 3 � �
SITE ADDRESS: DV ,^I ILO
WO 911#/ROAD NAME 77 I VV
C LA----e.C-',--L_ t Vc Z I P q 0 3 7(,
9 DIGIT PARCEL ID NUMBER C. G D' [ t 3 D 02__
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT Re-(9 3 co,— .,,a,..„, ,0_ s PHONE —&,(-3 7
MAILING ADDRESS P� G �/
3 )
W ZIP
I\
PROPERTY OWNER `, '10jCelvt
PHONE
MAILING ADDRESS
ZIP
CONTRACTOR StA.Y1 S H 111 Q_ P20 9 1 #1&. PHONE 3 8, - 37/7
MAILING ADDRESS I D 8 S 3 Rl+a t 02 .
Po,�r f1-�goLDC..1C- i LA . ZIP 5o33`t
STATE LICENSE # SL4 VI,5 j-f P & 0 7 7 Q p EXP. DATE I I /O'/
FEDERAL I.D. # 91_ I0417 8S7
,
APPLICANT SIGNATURE d--c-- All-% -
e DATE / ) / O/
FOR OFFICE USE ONLY
BASE FEE 4 g r RECEIPT # 3C1Lt 52-.
CAS CK# ) 7$ S
TOTAL
_ _ DATE ? /ZcT
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