HomeMy WebLinkAboutBLD2001-00659 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 #: BLD01-00659 Received Date 11/26/2001
SITE ADDRESS: 1031 FAIRMOUNT RD Issue Date 11/27/2001
PORT TOWNSEND, 98368 Expiration Date 11/27/2002
APPLICANT: DAVE SADICK PHONE: (206)443-0800
PATTI SADICK
401 2ND AVE S STE 700
SEATTLE WA 98104 T 2+
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 902241002 Section: 24 Township: 29N Range: 02W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2002
OWNER, DAVE SADICK PHONE: (206)443-0800
if different: PATTI SADICK
401 2ND AVE S STE 700
SEATTLE WA 98104
PROJECT DESCRIPTION NO MLA REQ'D - PROPANE 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 IS 11/27/2002.
REQUIRED INSPECTIONS:
[ ] Tank/Lin /A pli ej C
i, 2-
[j/. FinalApproval: %C j,.2—t3--42—z_.
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
BUILDING PERMIT APPLICATION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00659 Received Date: 11/26/2001
SITE ADDRESS: 1031 FAIRMOUNT RD
PORT TOWNSEND, 98368
OWNER: DAVE SADICK PHONE: (206)443-0800
PATTI SADICK
401 2ND AVE S STE 700
SEATTLE WA 98104
SUBDIVISION: Block: Lot: T 2+
PARCEL NUMBER: 902241002 Section: 24 Township: 29 N Range: 02 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 STOVE
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
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 Condition.,
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 11/26/01 42447
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 JL OTHER (l'
J�� ]/-
SITE ADDRESS: (((
911#/ROAD NAME 103 1 Fir tr o u ,,,'f aa
to; - To LA)n _S Q-i 19 L.') ZIP L' 3C8
9 DIGIT PARCEL ID NUMBER 1 0 2- Z i t U 0 -2
Legal Description:
Subdivision Name Block
Lot(s)
Section Township North, Range WM
APPLICANT 0 - p J ,,,k_ PHONE 66 nL
��. 3 R
�o0
MAILING ADDRESS d '+, S CS
k +2— 700
(.l✓ ZIP
PROPERTY OWNER ..
PHONE
MAILING ADDRESS
ZIP
CONTRACTOR Skyl S I-1 In P209 _
PHONE 3 85-- 379 7
MAILING ADDRESS (0 IZ S 3 RH-0 b y O 2 .
Pori- N-A10 up c.1c OA • e
ZIP 5 cf 33 `l
STATE LICENSE # Sc,l V1 s tE p.y� O 7 7 Q P
EXP. DATE I I /0I-,
FEDERAL I.D. # 91- t o o "7 Q S 7J
APPLICANT SIGNATURE -� '�P'` �' l DATE
ew // / G-Ci /
G
FOR OFFICE USE ONLY
BASE FEE
RECEIPT # 1-12_L-/ y-3-
D E C D VI E CASH/CK #
TOTAL
DATE II /2(ai O
NOV 2 6 2001
H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98 — --- -
4.:1._ ..i.) i .--,,.v,Y
DEPT. OF COMMUNITY DEVELOPMENT