HomeMy WebLinkAboutBLD2001-00641 •
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 #: BLD01-00641 Received Date 11/15/2001
SITE ADDRESS: 75 FIR CIR Issue Date 11/15/2001
PORT HADLOCK, 98339 Expiration Date 11/15/2002
APPLICANT: CAROL BROWN PHONE: (360)379-3967
75 FIR CIRCLE
PORT HADLOCK WA 98339
37
SUBDIVISION: BISHOP ACRES Block: Lot:
PARCEL NUMBER: 932300037 Section: 2 Township: 29N Range: 01W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2001
OWNER, CAROL BROWN PHONE: (360)379-3967
if different: 75 FIR CIRCLE
PORT HADLOCK WA 98339
PROJECT DESCRIPTION NO MLA REQ'D - PROPANE TANK& STOVE 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 11/15/2002.
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.
HOT LINE AVAILABLE 24 HOURS A DAY
is\F_BLD_Perm it_Propane.rpt 10/29/19
BUILDING PERMIT APPLICATION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00641 Received Date: 11/15/2001
SITE ADDRESS: 75 FIR CIR
PORT HADLOCK, 98339
OWNER: CAROL BROWN PHONE: (360)379-3967
75 FIR CIRCLE
PORT HADLOCK WA 98339
SUBDIVISION: BISHOP ACRES Block: Lot: 37
PARCEL NUMBER: 932300037 Section: 2 Township: 29 N Range: 01 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 NO MLA REQ'D - PROPANE TANK & STOVE 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 11/15/01 42415
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
96-61—/ ii-e--4-74. CY2:;"."
SITE ADDRESS: r-] M
911E/ROAD NAME (( I v`
C ZIP I U3J
9 DIGIT PARCEL ID NUMBER q 3 0 0 o 37
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT 0 a'r -{ PHONE 379 39
MAILING ADDRESS �4
s2_
ZIP
PROPERTY OWNER
PHONE 4
MAILING ADDRESS
ZIP
CONTRACTOR S(4v) s N Ine_ PQo per.- PHONE 385- 5-7g7
MAILING ADDRESS (D g S 3 R E}.0 rp t, 0 2
Po,'r N-r4Y3 Lo cm, . L,". • e ZIP S e 33
ci
STATE LICENSE # SL.t VI S If P 0 7 7 Q p EXP. DATE 11 f 64._,
FEDERAL I.D. # 91_ 1 o ct 7 8 S 7
,
APPLICANT SIGNATURE C.Gu--cy 40., ' Ole e DATE 11 / j i. /b
FOR OFFICE USE ONLY
BASE FEE
RECEIPT # '12'-{ 15
�l QR
MCASH/CK # --5�3
TOTAL 46-C.) D I C .i[_, " DATE I I / 15/ Q(
NOV 1 5 2001 ,J
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DEPT. OF COMMUNITY DEVELOPMENT