HomeMy WebLinkAboutBLD2002-00074 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 #: BLD02-00074 Received Date 2/12/2002
SITE ADDRESS: 171 CONDON LN Issue Date 2/13/2002
PORT LUDLOW, 98365 Expiration Date 2/13/2003
APPLICANT: TERRY V ALLEN PHONE: (360)437-7685
DIANE Y ALLEN
171 CONDON LN
PORT LUDLOW WA 98365-9762 31
SUBDIVISION: PORT LUDLOW NO 1 AREA 2 Block: Lot:
PARCEL NUMBER: 990400231 Section: 9 Township: 28N 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, TERRY V ALLEN PHONE: (360)437-7685
if different: DIANE Y ALLEN
171 CONDON LN
PORT LUDLOW WA 98365-9762
PROJECT DESCRIPTION PROPANE TANK& PIPE 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 02/13/2003.
REQUIRED INSPECTIONS:
[c____ Tank/Line/A pplia , `— Gf Q.1 r o -�.
[ 1 FinalApproval: en 4I'22-,0—
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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
BLD02-00074
BUILDING PERMIT APPLICATION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00074 Received Date: 2/12/2002
SITE ADDRESS: 171 CONDON LN
PORT LUDLOW, 98365
OWNER: TERRY V ALLEN PHONE: (360)437-7685
DIANE Y ALLEN
171 CONDON LN
PORT LUDLOW WA 98365-9762
SUBDIVISION: PORT LUDLOW NO 1 AREA 2 Block: Lot: 31
PARCEL NUMBER: 990400231 Section: 9 Township: 28 N Range: 01 E
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 & PIPE 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
Routing Date: F&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
Proximity Plat Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 02/12/02 45717
Total: $48.00
3 AEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 13601 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE /t9 PROPANE TANK PELLET STOVEX.)OTHERr p i►
SITE ADDRESS:
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9 DIGIT PARCEL ID NUMBER q § L /C) 6 3 (
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT ��4 -f AC 46.6_,_C PHONE 7- '76 cYJ---
MAILING ADDRESS
ZIP
PROPERTY OWNER C..LIx_Q C C: c
PHONE
MAILING ADDRESS
ZIP
CONTRACTOR Sun s H Ine. P20PA4N-Q-_ PHONE 38,c' 5717
MAILING ADDRESS 10 :?S 3 RIB p y 0 Q ,
Pori- I+AY3 La c4\ . OA • A ZIP 5 cf 33 1
STATE LICENSE # SLtV1,Si+P%o77Qp EXP. DATE lI /CI:L.
FEDERAL I.D. # 91- 1 o A 7 8 s 7
APPLICANT SIGNATURE �l.C.l.."'c.-- ,0o., ' oy- a DATE ` -7 //I 0 _ _-
FOR O
BASE FEE • y 5-4- I
F E B 1 2 200FAs �} y
TOTAL
D DA 2 ,/ IZ/02
EPT. OF'COMMUNITY DEVELOPMENT ,
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