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HomeMy WebLinkAboutBLD2001-00642 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 #: BLD01-00642 Received Date 11/15/2001 SITE ADDRESS: 256 DISCOVERY RIDGE RD Issue Date 11/15/2001 PORT TOWNSEND, 98368 Expiration Date 11/15/2002 APPLICANT: JAMES MOORE PHONE: 360-379-2936 26 DISCOVER RIDGE ROAD PORT TOWNSEND WA 98368 T 36 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001301005 Section: 30 Township: 30N Range: 01W CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420 PO BOX 1031 PORT TOWNSEND WA 98368 Contractor's License PETTI00088CC Expires 05/01/2002 OWNER, JAMES MOORE PHONE: 360-379-2936 if different: 26 DISCOVER RIDGE ROAD PORT TOWNSEND WA 98368 PROJECT DESCRIPTION NO MLA REQ'D - PROPANE TANK AND HEAT STOVE 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 'S 11/15/2002. REQUIRED INSPECTIONS: [ ] T, nk/Line/ lance: ' d7/ 7W [ ] FinalApproval: al'( Pe-Y !�-c7-,- - /�vi G.•FS c/ce.K . /L-c-�, 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_Permit_Propane.rpt 10/29/19 . r • BUILDING PERMIT APPLICATION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00642 Received Date: 11/15/2001 SITE ADDRESS: 256 DISCOVERY RIDGE RD PORT TOWNSEND, 98368 OWNER: JAMES MOORE PHONE: 360-379-2936 26 DISCOVER RIDGE ROAD PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: T 36 PARCEL NUMBER: 001301005 Section: 30 Township: 30 N Range: 01 W CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420 PO BOX 1031 PORT TOWNSEND WA 98368 Contractor's License PETTIOCO88CC Expires 05/01/2002 REPRESENTATIVE(S): PROJECT DESCRIPTIO NO MLA REQ'D - PROPANE TANK AND HEAT STOVE 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 (✓ I / I5/o rjfie_ Shoreline Aquifer Forest: Commercial Rural Proximity_ plat Conditions Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $48.00 ZAN 11/15/01 42504 Total: $48.00 • JEFFERSON COUNTY COMMUNITY DEVELOPMENT,621 SHERIDAN ST,PORT TOWNSEND WA 2R358PH: (360)379-4450 ���\ INSTALLATION PERMIT APPLICATION WOODSTOVE tip:► PROPANE TANK PELLET STOVE OTHER /�v� (h��-�-Er� L. eXISTZNg Is this appliance (htg stove, hot water tank,furnace, etc.)to be installed in a Manufactured/Mobile Home? YES X NO SITE ADDRESS(911#/Road Name): Z5 lu2-560/EizY 122-D&E. RD A.i, ,,rq 9g31g ZIP 9 DIGIT PARCEL ID NUMBER 00/ 3e/ °OS Legal Description: 75l' �A L;S J66167 Subdivision Name ,(2A2GrG /7 %5cOi'U'E,D 1/Olaia1E 8 Block Lot(s) Section / '3 0 Township 3 0 North, Range / WM APPLICANT _ /41 /if6'!A2t` PHONE 3o'37 j 93,( MAILING ADDRESS Z6 /22:5C'C'4"—-2 f /2-le rc ..‹.0 P/r ie,"e q8. ' ZIP PROPERTY OWNER '3 Thy/mcr724-' PHONE -76 74'25 7 43.6" MAILING ADDRESS 26 o2ccc✓rk '' fl t,D 6C RD 1el et-/4 96 Le ZIP CONTRACTOR PETT r7-- QZ 4 C.©. PHONE 26.4.--'c5'` /5/ 0 MAILING ADDRESS 13 -5 eta et) /e.0 ZIP STATE LICENSE# EXP.DATE FEDERAL I.D.# By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments, court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and it's employees, representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. APPLICANT SIGNATURE .. DATE // l ,/S / a/ jf FOR OFFICE USE ONLY BASE FEE "1$ . RECEIPT# 4D So-f CASH/CK# cOD �u, TOTAL 1 0 . d° DATE Lk! I Sr D t H:\HOM E\PL NC NTR\I N F OBLDG\FORMS\I N STALL.DOC 11/05/01