HomeMy WebLinkAboutBLD2002-00029 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 #: BLD02-00029 Received Date 1/18/2002
SITE ADDRESS: 616 MC MINN RD Issue Date 1/18/2002
PORT TOWNSEND, 98368 Expiration Date 1/18/2003
APPLICANT: ANTHONY M COUTO PHONE: (360)385-6905
616 MCMINN RD
PORT TOWNSEND WA 98368-9004
2
SUBDIVISION: HILDEBRANDT SHORT PLAT Block: Lot:
PARCEL NUMBER: 002014006 Section: 1 Township: 30N 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, ANTHONY M COUTO PHONE: (360)385-6905
if different: 616 MCMINN RD
PORT TOWNSEND WA 98368-9004
PROJECT DESCRIPTION PROPANE TANK 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:
[(,1r /Line/Appliance:',-/'Cl (MW/C) .7 `7 ``` ;/,
[cl- a1Ep 2 r_ oval , • e-°
BUILDING INSPECTION HOT-LINE 3794455. 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
i:\F_BLD_Permit_Propane.rpt 10/29/19
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9
BUILDING PERMIT A' PLICATION BR vi w Typ e:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00029 Received Date: 1/18/2002
SITE ADDRESS: 616 MC MINN RD
PORT TOWNSEND, 98368
OWNER: ANTHONY M COUTO PHONE: (360)385-6905
616 MCMINN RD
PORT TOWNSEND WA 98368-9004
SUBDIVISION: HILDEBRANDT SHORT PLAT Block: Lot: 2
PARCEL NUMBER: 002014006 Section: 1 Township: 30 N Range: 02 W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2002
REPRESENTATIVE(S):
PROJECT DESCRIPTIO PROPANE TANK INSTALLATION
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 Conditions -
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 01/18/02 45543
Total: $48.00
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE X
I PROPANE TANK PELLET STOVE OTHER
SITE ADDRESS:
911#/ROAD NAME V(6,
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LJ ._ ZIP
9 DIGIT PARCEL ID NUMBER 0 C-) U / (77
Legal Description:
Subdivision Name Block
Lot(s)
Section Township North, Range WM
APPLICANT (/L PHONE 3 e,s " 6 f O S
MAILING ADDRESS 6/6 h-, //3 ,,
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PROPERTY OWNER 14-7 ✓'"`'c.<�
PHONE
MAILING ADDRESS
ZIP
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MAILING ADDRESS 10 g S 3 RI-1-0 o y 0 2
Po,rT- N-eho t o U c L4) . . ZIP S 3 3 `i
STATE LICENSE # S(.tVI3H-Pi( 077Qp
EXP. DATE I I
FEDERAL I.D. # `I 1- 1 0 g 7 8 S 7
APPLICANT SIGNATURE �C.(�.r--c`.
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FOR 0 U 1.4'", U V E
BASE FEE •
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[JAN 1 8 200� I'
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DEPT. OF COMMUNITY DE
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