HomeMy WebLinkAboutBLD2001-00549 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 #: BLD01-00549 Received Date 10/2/2001
SITE ADDRESS: 680 PINECREST DR Issue Date 10/2/2001
PORT TOWNSEND, 98368 Expiration Date 10/2/2002
APPLICANT: LAURIE D PRENTICE PHONE: 553-38-6411
MYRNA PRENTICE
680 PINECREST DR
PORT TOWNSEND WA 98368 400
SUBDIVISION: KALA POINT#7 Block: Lot:
PARCEL NUMBER: 965000260 Section: 27 Township: 30N Range: 01W
CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420
PO BOX 1031
PORT TOWNSEND WA 98368
Contractor's License PETTIOCO88CC Expires 05/01/2002
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 10/02/2002.
REQUIRED INSPECTIONS:
[ ] 0/Line/Appliance: 0 1 o -.2 ' D 1
[CrV FinalApproval: 6 1D-1,2,-0
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_Perm it_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 #: BLD01-00549 Received Date: 10/2/2001
SITE ADDRESS: 680 PINECREST DR
PORT TOWNSEND, 98368
OWNER: LAURIE D PRENTICE PHONE: 553-38-6411
MYRNA PRENTICE
680 PINECREST DR
PORT TOWNSEND WA 98368
SUBDIVISION: KALA POINT#7 Block: Lot: 400
PARCEL NUMBER: 965000260 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420
PO BOX 1031
PORT TOWNSEND WA 98368
Contractor's License PETTI00088CC Expires 05/01/2002
REPRESENTATIVE(S):
PROJECT DESCRIPTIO NO MLA REQ'D - PROPANE TANK 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_ pIat Condition&
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 10/02/01 41503
Total: $48.00
JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSENQ WA 9.236$ PH, (3601 377g2-445Q
INSTALLATION PERMIT APPLICATION Tij U V 1
WOODSTOVE PROPANE TANK PELLET STOVE OTHER ael „ 1
Y Pa
SITE ADDRESS: n�/ C4 AA'
911#/ROAD NAME �( /f ff� `' --•.--- ---.
Jam:MUNIT DEVELOPMENT
--X-4-(1 , WESIclial ZIP E j' UNITY DEVELOPMENT
9 DIGIT PARCEL ID NUMBER fdi,c7:,,irdal,a d
Legal Description: _/
Subdivision Name 611c CCU' vo- `7-(7Cj/ro, Block Lot(s) C>
Section Township North, Range ? WM
APPLICANT / 2'
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MAILING ADDRESS P . S} /4
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77. U ZIP / f3(Q d
PROPERTY OWNER , Q _/+C� I7- PHONE
MAILING ADDRESS `(' O Q /F #&ff.0 (
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CONTRACTOR / 2 10(/ PHONE 4,e - (~/)) 0
MAILING ADDRESS - LZIPI ,11(.
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STATE LICENSE # ee f t! 0e, Oak(1c. EXP. DATE Dfl' � 3..--
FEDERAL I.D. # 7/ 6 7<'"yc--®
By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material
falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void.
I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments, court costs, reasonable attorney's fees and expenses which
may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson County and it's employees, representatives or agents for the purpose of application review and any
required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours.
APPLICANT SIGNATURE 141 d7/7ilet/M_ G%DATE� l �- l�j/�,FOR OFFICE USE ONLY
BASE FEE RECEIPT# L-15b 3
CASH/CK# 305
TOTAL Li g •OP DATE IC) /2, /01 '
H:1H OME\PLNCNTR\FORMS\INSTALL.DOC 10/99