HomeMy WebLinkAboutBLD2002-00037 •
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 #: BLD02-00037 Received Date 1/24/2002
SITE ADDRESS: 223 HUCKLEBERRY PL Issue Date 1/24/2002
PORT TOWNSEND, 98368 Expiration Date 1/24/2003
APPLICANT: JENNIFER K STANKUS PHONE: (360)385-6111
PO BOX 340
PORT TOWNSEND WA 98368-0340
11
SUBDIVISION: CAPE GEORGE VILLAGE DIV 6 Block: Lot:
PARCEL NUMBER: 941400010 Section: 13 Township: 30N Range: 02W
CONTRACTOR: MOUNTAIN PROPANE LLC PHONE:
265 CHIMACUM RD
PORT HADLOCK WA 98339
OWNER, JENNIFER K STANKUS PHONE: (360)385-6111
if different: PO BOX 340
PORT TOWNSEND WA 98368-0340
PROJECT DESCRIPTION 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 01/24/2003.
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_Permit_Propane.rpt 10/29/19
7
BUILDING PERMIT APPLICATION BeDOw Typ e:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00037 Received Date: 1/24/2002
SITE ADDRESS: 223 HUCKLEBERRY PL
PORT TOWNSEND, 98368
OWNER: JENNIFER K STANKUS PHONE: (360)385-6111
PO BOX 340
PORT TOWNSEND WA 98368-0340
SUBDIVISION: CAPE GEORGE VILLAGE DIV 6 Block: Lot: 11
PARCEL NUMBER: 941400010 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR: MOUNTAIN PROPANE LLC PHONE:
265 CHIMACUM RD
PORT HADLOCK WA 98339
REPRESENTATIVE(S):
PROJECT DESCRIPTIO PROPANE TANK & STOVE 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: 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
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 01/24/02 45558
Total: $48.00
JEFFERSON COUNTY COMMUNITY DEVELOPMENT,621 SHERIDAN ST,PORT TOWNSEND WA 98368 PH: (360)379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE 4. PROPANE TANK PELLET STOVE OTHER
Is this appliance (htg stove, hot water tank,furnace, etc.)to be installed in a Manufactured/Mobile Home?
YES ( NO
SITE ADDRESS(911#/Road Name):
socklph,2_rc j Pt.
ZIP C 3(0 g
9 DIGIT PARCEL ID NUMBER 614( 400 G.
Legal Description: Q .
Subdivision Name CP cx_ P cr c.t` U a so Block (0 Lot(s) ( I
Section Township North, Range WM
APPLICANT t( Sta.Lid.kJ-S PHONE 3' 5 - (c(((
MAILING ADDRESS S?G Q 3 40
Q r ZIP C '• c= g
PROPERTY OWNER o �3c Y\,.2 PHONE
MAILING ADDRESS
ZIP
CONTRACTOR /-,-('- 90-cjp�h Q. PHONE
MAILING ADDRESS i
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 N DATE C / T/ 'tom
FOR OFFICE USE ONLY
BASE FEE RECEIPT#
CASH/CK# S
TOTAL 11 g 61) DATE i iai / �2
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