HomeMy WebLinkAboutBLD2002-00050 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 #: BLD02-00050 Received Date 2/4/2002
SITE ADDRESS: 8863 FLAGLER RD Issue Date 2/5/2002
NORDLAND, 98358 Expiration Date 2/5/2003
APPLICANT: DENIS R DIGNAN PHONE: (360)385-0688
CAROL JANE BANGS
8863 FLAGLER RD
NORDLAND WA 98358-9542 1
SUBDIVISION: ORME SHORT PLAT Block: Lot:
PARCEL NUMBER: 953700322 Section: 20 Township: 30N Range: 01E
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2002
OWNER, DENIS R DIGNAN PHONE: (360)385-0688
if different: CAROL JANE BANGS
8863 FLAGLER RD
NORDLAND WA 98358-9542
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 02/05/2003.
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
BUILDING PERMIT APPLICATION BLD02-00050
Jefferson County Department of Community Development Review Type:
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD02-00050
SITE ADDRESS: 8863 FLAGLER RD Received Date: 2/4/2002
NORDLAND, 98358
OWNER: DENIS R DIGNAN
CAROL JANE BANGS PHONE: (360)385-0688
8863 FLAGLER RD
NORDLAND WA 98358-9542
SUBDIVISION: ORME SHORT PLAT
PARCEL NUMBER: 953700322 Block: Lot: 1
Section: 20 Township: 30 N Range: 01 E
CONTRACTOR: SUNSHINE PROPANE
10853 RHODY DR PHONE: 385-5797
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
VALUATION MAIN:
CODE EDITION: 1997 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER:
CONST TYPE: GARAGE: SHORELINE:
DECK: SETBACK:
SEWAGE DISPOSAL: BANK HEIGHT:
WATER SYSTEM:
BE ROOHS: BATHROOMS: PARCEL TAGS: YES NO
STORMWATER: YES NO AREA
Exist: Exist: Wetland Prop: Prop: Erosion
Total: Seismic Streams
Total: Flood Way
Floodplain
F&W
Routing Date: Landslide
Shoreline Aquifer
Forest: Commercial Rural
---
Type Amount Paid By: Date: R _ --•_--=.:.e..,.::.-
eceipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 02/04/02 45585
Total: $48.00
I
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE )`. PROPANE TANK PELLET STOVE V OTHER r---'
SITE ADDRESS:
911#/ROAD NAME SE(03 is
NJ @v-c1L z,,_.,,,9- Li C. ZIP Cl 23S Q
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9 DIGIT PARCEL ID NUMBER 95 3 7o 0 3 22_
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT Q eMirnn 10 i r.-?....� PHONE ..))(1.) - O6 d'
MAILING ADDRESS
ZIP
PROPERTY OWNER C4 T PHONE f)
MAILING ADDRESS Ii
ZIP
CONTRACTOR SL&Vl S N Me._Q. P2O P P P'&. PHONE 3 85- 15717
MAILING ADDRESS (D Q S 3 RN-a O y 0 2 .
Pori- 14-,4,O Lo c,1c c..?c. • 0
ZIP 5 d' 3 3 1
STATE LICENSE # SL.t I l,S f{.A O7 7 Q p EXP. DATE l I /O _
FEDERAL I.D. # 9 l- I o ct '7 &S7
APPLICANT SIGNATURE a..44c-c ,4ca, ' ay- a DATE / / 3/ / o 1--
FOR OFFICE USE ONLY u
BASE FEE RE-
t� "� F II \9 j E�' ,tK #
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TOTAL FEB - 4 2002 Z/ 1 / p 2
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