HomeMy WebLinkAboutBLD2002-00049 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 #: BLD02-00049 Received Date 2/4/2002
SITE ADDRESS: 180 LONE STAR RD Issue Date 2/5/2002
QUILCENE, 98376 Expiration Date 2/5/2003
APPLICANT: RICHARD D HANON PHONE: (360)765-3255
180 LONE STAR RD
QUILCENE WA 98376-9701
T2
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 701052004 Section: 5 Township: 27N Range: 01W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2002
OWNER, RICHARD D HANON PHONE: (360)765-3255
if different: 180 LONE STAR RD
QUILCENE WA 98376-9701
PROJECT DESCRIPTION PROPANE 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 02/05/2003,
REQUIRED INSPECTIONS:
[ ] Tank/Lin ppliance ® /04/02.-
[ ] FinalApproval: OK -cor C' ® (!/tq/az e#
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_Perm it_Propane.rpt 10/29/19
BUILDING PEtMIT APPLICATION BReview 000e49
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00049 Received Date: 2/4/2002
SITE ADDRESS: 180 LONE STAR RD
QUILCENE, 98376
OWNER: RICHARD D HANON PHONE: (360)765-3255
180 LONE STAR RD
QUILCENE WA 98376-9701
SUBDIVISION: Block: Lot: T 2
PARCEL NUMBER: 701052004 Section: 5 Township: 27 N Range: 01 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 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:
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
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 02/04/02 45585
Total: $48.00
4
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PART TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
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WOODSTOVE PROPANE TANK PELLET STOVE X OTHER ie1n�, e(49-4--
SITE ADDRESS: � n
911#/ROAD NAME /6 0 LOYt e d r /`
Q Lug. `.,2„..‹.._r j)� ZIP �dP(
9 DIGIT PARCEL ID NUMBER 0 ( 0 S D--- 0 0 --(
Legal Description:
Subdivision Name Block Lot(s)
Section TTownship North, Range WM
APPLICANT c_JoG-y, S P�-c4 Cam. el 144.Yt L')-�, PHONE 76 J - 3 J-S
i
MAILING ADDRESS
ZIP
PROPERTY OWNER 0 0-4-c6 PHONE
MAILING ADDRESS ..aLLL
ZIP
CONTRACTOR Suvl s H I n e.. P20 p _ PHONE 7 85 - 371
MAILING ADDRESS (D 2?S 3 R►+t) 10 j 0 2 ,
Pov-r L.o QC. LOA • 0
ZIP 5 cr 33`(
STATE LICENSE # SL,I v1,S(}P'j&07 7 R P EXP. DATE I I /04—
FEDERAL I.D. # 91- I O g 7 8,S 7
APPLICANT SIGNATURE `l�(,U^-c..... ,0tl3-, 01,- ( DATE / / / / U
FOR OFFICE USE ONLY
BASE FEEC- F, i ELi /2,):,I,D (� T # 155g S
h FJ U Hi,CK #
1
TOTAL FEB 4 2002 �-/ 4 / D? -
DEPT. OF -NI ,. V
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