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BLD2001-00569
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 #: BLD01-00569 Received Date 10/9/2001 SITE ADDRESS: 901 WALKER WAY Issue Date 10/10/2001 PORT LUDLOW, 98365 Expiration Date 10/10/2002 APPLICANT: JIM RYAN PHONE: (360)437-0214 PAT RYAN 901 WALKER WAY PORT LUDLOW WA 98365 74 SUBDIVISION: PORT LUDLOW NO. 4 Block: Lot: PARCEL NUMBER: 990500074 Section: 8 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, JIM RYAN PHONE: (360)437-0214 if different: PAT RYAN 901 WALKER WAY PORT LUDLOW WA 98365 PROJECT DESCRIPTION NO MLA REQ'D - PROPANE TANK& FIREPLACE 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 10/10/2002 REQUIRED INSPECTIONS: [4.---�'FinalApproval: 3/ - a2 -a 75e--, 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 #: BLD01-00569 Received Date: 10/9/2001 SITE ADDRESS: 901 WALKER WAY PORT LUDLOW, 98365 OWNER: JIM RYAN PHONE: (360)437-0214 PAT RYAN 901 WALKER WAY PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO. 4 Block: Lot: 74 PARCEL NUMBER: 990500074 Section: 8 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 TANK & FIREPLACE 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: 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 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 10/09/01 41536 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 iia �� / 'l SITE ADDRESS: 911#/ROAD NAME Q O ( jó / r_ 6J PT - ����v�-� ( C� - ZIP q 36-- 9 DIGIT PARCEL ID NUMBER 1 0 Q U ©7 C,/ Legal Description: r Subdivision Name Block Lot(s) Section Township North, Ramie .Y rvl 0' APPLICANT V 1V .� 3 0 CqP-t--r, J © `/ PHONE `�i ( a 7 MAILING ADDRESS S-(-- ..__, ZIP R O 3 by PROPERTY OWNER ,,d PHONE MAILING ADDRESS ZIP CONTRACTOR SLA.v1 S H 1r1t.. Pep Pa__ PHONE 3 66-- 579/ MAILING ADDRESS (0 g 5 3 Rt-1-i7 n y 0 2 Po,rr 1+6,j Lc, cic. , cJA . '" ZIP ' d' 33 STATE LICENSE # Su v1 S ff p 0 7 7 Q P EXP. DATE / FEDERAL `i!.D. # l- 10 c1 7 8 S 7 — APPLICANT SIGNATURE u--c - al,-'Otf�'` � - l DATE r / ( / i` FOR OFFICE USE ONLY BASE FEE ' r15T(7 RECEIPT # `-1 CASH/CK # -553 TOTAL 41 DATE I D/ 9 / Q H:1HOME\PLNCNTR\FORMS\INSTALL.DOC4/98