HomeMy WebLinkAboutBLD2002-00063 t
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 #: BLD02-00063 Received Date 2/11/2002
SITE ADDRESS: 40 4TH AVE Issue Date 2/11/2002
PORT HADLOCK, 98339 Expiration Date 2/11/2003
APPLICANT: BILLY J TALLEY PHONE: (360)379-2886
40 4TH AVE
PORT HADLOCK WA 98339-9603
30-35
SUBDIVISION: IRONDALE Block: 33 Lot:
PARCEL NUMBER: 961803311 Section: 35 Township: 30N 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, BILLY J TALLEY PHONE: (360)379-2886
if different: 40 4TH AVE
PORT HADLOCK WA 98339-9603
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 02/11/2003.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance: /i1e4/
[ ] FinalApproval: L //dy
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_Propa ne.rpt 10/29/19
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BUILDING PERMIT APPLICATION BR vi w Typ e:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00063 Received Date: 2/11/2002
SITE ADDRESS: 40 4TH AVE
PORT HADLOCK, 98339
OWNER: BILLY J TALLEY PHONE: (360)379-2886
40 4TH AVE
PORT HADLOCK WA 98339-9603
SUBDIVISION: IRONDALE Block: 33 Lot: 30-35
PARCEL NUMBER: 961803311 Section: 35 Township: 30 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 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:
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 Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 02/11/02 45703
Total: $48.00
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK PELLET STOVE __.:( OTHER r4„.44,( 4.,z_,
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Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT At CC
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MAILING ADDRESS
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ZIP
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PROPERTY OWNER ar -C, l r,‹...-.._.7— PHONE
MAILING ADDRESS 11
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CONTRACTOR Sl4v1 S M I el Q- PR-0 P P•r&. PHONE a 8, - 5717
MAILING ADDRESS 10 1?5.3 R I-1-0 p,j 0 2 .
Porn- K-AYJ uo UC (4 6. . 5ZIP 6' 33 Cl
STATE LICENSE # SL4Vt sff-P- 077QP EXP. DATE l I /03„_
FEDERAL I.D. # 91- I p et 7 8 S 7
APPLICANT SIGNATURE CGI.[.e"c, ,Otri-, ' 01,- ( DATE d / 7 , 0)--
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