HomeMy WebLinkAboutBLD2001-00579 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 #: BLD01-00579 Received Date 10/12/2001
SITE ADDRESS: 31 S 7TH AVE Issue Date 10/12/2001
PORT HADLOCK, 98339 Expiration Date 10/12/2002
APPLICANT: JOHN MCCLANE PHONE: (360)379-8245
GAIL MCCLANE
31 S 7TH ST
PORT HADLOCK WA 98339 1-5
SUBDIVISION: CHALMER'S 2ND ADDITION Block: 7 Lot:
PARCEL NUMBER: 942900702 Section: 3 Township: 29N Range: 01W
CONTRACTOR: MOUNTAIN PROPANE LLC PHONE:
265 CHIMACUM RD
PORT HADLOCK WA 98339
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 10/12/2002.
REQUIRED INSPECTIONS:
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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 #: BLD01-00579 Received Date: 10/12/2001
SITE ADDRESS: 31 S 7TH AVE
PORT HADLOCK, 98339
OWNER: JOHN MCCLANE PHONE: (360)379-8245
GAIL MCCLANE
31 S 7TH ST
PORT HADLOCK WA 98339
SUBDIVISION: CHALMER'S 2ND ADDITION Block: 7 Lot: 1-5
PARCEL NUMBER: 942900702 Section: 3 Township: 29 N Range: 01 W
CONTRACTOR: MOUNTAIN PROPANE LLC PHONE:
265 CHIMACUM RD
PORT HADLOCK WA 98339
REPRESENTATIVE(S):
PROJECT DESCRIPTIO NO MLA REQ'D - PROPANE TANK 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
F&W Landslide
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
Proximity_ plat Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 10/12/01 42267
Total: $48.00
JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEN 6rPF12(301792,517-)
INSTALLATION PERMIT APPLICATION �...
WOODSTOVE 0
PROPANE TANK PELLET STOVE OTHER OCT I . J
SITE ADDRESS: 5 �"�'t' \ -"4..' U
911#/ROAD NAME 3 t ✓ t 6 J=re'C{-+:i'Ja i,rlitllYlY
t � DEP�t pOF COMMUNITY DEVELOPMENT
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ZIP 3.9
9 DIGIT PARCEL ID NUMBER 9 aa- °WO "lo
Legal Description:
Subdivision Name Block Lotls)
Section Township North, Range WM
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MAILING ADDRESS PO I ktc Cl
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CONTRACTOR OU'(`k(J�(I/� cb'(/,,yLQ PHONE 3tg o - � "p Os O 3
MAILING ADDRESS
ZIP
STATE LICENSE# EXP. DATE
FEDERAL I.D. #
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 Coun y 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 d it's employees, representatives or agents for the purpose of application review and any
required later inspections. Access and ight of,entry t the ap licant's pr perty or structure shall be requested and shall occur during regular business hours.
APPLICANT SIGNATURE C Jiv ------- DATE /O I (r / o i
_ FOR OFFICE USE ONLY
g er
BASE FEE RECEIPT# ,,,},z 2
CASH/CK# _
TOTAL DATE )/ >"./ ` .
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