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HomeMy WebLinkAboutBLD2001-00623 r BUILDING 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 #: BLD01-00623 Received Date 11/5/2001 SITE ADDRESS: $ S{or I(z-try Issue Date 11/5/2001 PORT TOWNSEND, 98368 Expiration Date 11/5/2002 APPLICANT: LAURETTA A SCRAFFORD PHONE: LAUREN A SCRAFFORD PO BOX 126 PORT TOWNSEND WA 983680126 SUBDIVISION: Block: Lot: PARCEL NUMBER: 902234005 Section: 23 Township: 29 N Range: 02 W CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420 PO BOX 1031 PORT TOWNSEND WA 98368 Contractor's License: PETTIOCO88CC Expires: 05/01/2002 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION PROPANE TANK INSTALLATION ...; av c fleck £-bv. REQUIRED INSPECTIONS: [ ] Setbacks (Shoreline Setbacks): [ ] Footings: [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: [ CPropane Tap [ ] Insulation: Sheetrock: el It 1 Final/Occupancy Approval:£f 41 ,t ,� - ,ci, P+� ...c. //./yam a HEALTH DEPARTMENT APPI4OVAL REQUIRED PRIOR TO FINAL INSPECTION. THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY �e.-av 1 iv-./2/t._ i:1F_BLD_Permit_Build ng.rpt 10/29/19 3 BUILDING PERMIT APPLICATION BeDew Typ e: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00623 Received Date: 11/5/2001 SITE ADDRESS: I E 5fe'Ye PORT TOWNSEND, 98368 OWNER: LAURETTA A SCRAFFORD PHONE: LAUREN A SCRAFFORD PO BOX 126 PORT TOWNS END WA 983680126 SUBDIVISION: Block: Lot: PARCEL NUMBER: 902234005 Section: 23 Township: 29 N Range: 02 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 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 PRB 11/05/01 42367 Total: $48.00 JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 62.1 SHERIDAN ST PORT TOWNSEND WA 98368 PR: 13601 379-4450 INSTALLATION PERMIT APPLICATION WOODSTOVE l!i PROPANE TANK PELLET STOVE OTHER SITE ADDRESS: fe 3-' (/ i,�-fi1 911#/ROAD NAME �,�, y�[ -y- , �! /,/� ? � G� G// / C� '� Gf i l/,//T ZIP f%( Jr: 9 DIGIT PARCEL ID NUMBER 90,)- o=3 V d Legal Description: Subdivision Name Block Lotls) Section Township North, Range WM APPLICANT Zi1Ue41 Jc-ILi7, 1r..,/f/ . PHONE MAILING ADDRESS 017'4- �""` "` �/14 ° �J l/�/�,,�J/J /,G er- W '7�`/ �I0 , L6 ( ZIP 9B.6 t PROPERTY OWNER .5 AL( PHONE MAILING ADDRESS ZIP CONTRACTOR r \.ele///4 •L C Al d PHONE J a-Sc1`j ` 1 d MAILING ADDRESS . /4, 6 - /o ' t' 4 / did ZIP 7 . / STATE LICENSE# f t T F. 06 © e e- EXP. DATE / -4 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 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. .., . ztre APPLICANT SIGNATURE (/' DATE// / j .../62 / ff_ FOR OFFICE USE ONLY BASE FEE ___4 RECEIPT# Z 3�, CASH/CK# tt TOTAL — s/ DATE / / H:1H OME\PLNCNTR\FORMS\IN STALL.D0C 10/99