HomeMy WebLinkAboutBLD2002-00028 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 #: BLD02-00028 Received Date 1/17/2002
SITE ADDRESS: 71 MARTINGALE PL Issue Date 1/18/2002
PORT LUDLOW, 98365 Expiration Date 1/18/2003
APPLICANT: NORMA E HALLOCK PHONE: (360)437-8193
71 MARTINGALE PL
PORT LUDLOW WA 98365-9559
41
SUBDIVISION: BAYVIEW VILLAGE DIV 3 Block: Lot:
PARCEL NUMBER: 931900041 Section: 16 Township: 28N Range: 01 E
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2002
OWNER, NORMA E HALLOCK PHONE: (360)437-8193
if different: 71 MARTINGALE PL
PORT LUDLOW WA 98365-9559
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 01/18/2003,
REQUIRED INSPECTIONS:
[ ] ank/Line/Appliance) c) L;t— /-2 9-0
[ FinalApproval: OK-C- / `s? 9-oZ
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 BeDOw-00
Type8
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00028 Received Date: 1/17/2002
SITE ADDRESS: 71 MARTINGALE PL
PORT LUDLOW, 98365
OWNER: NORMA E HALLOCK PHONE: (360)437-8193
71 MARTINGALE PL
PORT LUDLOW WA 98365-9559
SUBDIVISION: BAYVIEW VILLAGE DIV 3 Block: Lot: 41
PARCEL NUMBER: 931900041 Section: 16 Township: 28 N Range: 01 E
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2002
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:
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
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 01/17/02 45536
Total: $48.00
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT'TOWNSEND WA 98368 PH: 1360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK PELLET STOVE ' / OTHER
SITE ADDRESS: '7( /
911#/ROAD NAME
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9 DIGIT PARCEL ID NUMBER Qf 3 J 9 Q 0 ® (77
Legal Description:
Subdivision Name Block
Lot(s)
Section Township North, Range WM
APPLICANT !VQ a
PHONE It 3 7 A-)
MAILING ADDRESSL
ZIP
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PROPERTY OWNER / LC,1—,,r
PHONE
MAILING ADDRESS
ZIP
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MAILING ADDRESS (D g 5 3 R I-l-0 0 y 02 .
Porr HichoLo c1c CAN,. . ZIP 5 cr 33 `1
STATE LICENSE # SL.t Vl S P%07 7 Q p EXP. DATE l I /
FEDERAL I.D. # `I l- I O g 7 8 S 7
APPLICANT SIGNATURE `C.(t�- c` ,Ocr), DATE / 7 / 0
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FOR OFFICE USE ONLY
BASE FEE • RECEIPT # L-155 k
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(C(; c [ p U EISH/CK # %23
TOTAL TE
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JAN 1 7 2002
H:tHOME\PLNCNTR\FORMS\INSTALL.DOC4/98
DEPT.OF COMMUNITY DEVELOPMENT