HomeMy WebLinkAboutBLD2002-00078 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 #: BLD02-00078 Received Date 2/13/2002
SITE ADDRESS: 1120 BECKETT POINT RD Issue Date 2/19/2002
PORT TOWNSEND, 98368 Expiration Date 2/19/2003
APPLICANT: ELIZABETH LEE PHONE: (206)524-3928
3867 44TH AVE NE
SEATTLE WA 98105
20
SUBDIVISION: BECKETT POINT SOUTH BEACH AN Block: Lot:
PARCEL NUMBER: 931970008 Section: 23 Township: 30N Range: 02W
CONTRACTOR: OWNER PHONE:
OWNER, BECKETT POINT FISHERMEN'S CLUB PHONE:
if different: % DAVID G GOODING
PORT TOWNSEND WA 983685717
PROJECT DESCRIPTION PROPANE TANK& FURNACE 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 02/19/2003.
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_Perm it_Propane.rpt 10/29/19
BUILDING PERMIT APPLICATION BLD02-00078
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00078 Received Date: 2/13/2002
SITE ADDRESS: 1120 BECKETT POINT RD
PORT TOWNSEND, 98368
OWNER: BECKETT POINT FISHERMEN'S CLUB PHONE:
% DAVID G GOODING
PORT TOWNSEND WA 983685717
SUBDIVISION: BECKETT POINT SOUTH BEACH AN Block: Lot: 20
PARCEL NUMBER: 931970008 Section: 23 Township: 30 N Range: 02 W
CONTRACTOR: PHONE:
PHONE:
REPRESENTATIVE(S): ELIZABETH LEE
3867 44TH AVE NE
SEATTLE WA 98105.
PROJECT DESCRIPTIO PROPANE TANK & FURNACE 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: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
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 02/13/02 45724
Total: $48.00
• JEFFERSON COUNTY COMMUNITY DEVELOPMENT,621 SHERIDAN ST,PORT TOWNSEND WA 98368 PH:.(360)379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE y PROPANE TANK PELLET STOVE OTHER 2 .� /-?IAVicL
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): •
P-rrlaoe.
T'(a4J 41 7S
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9 DIGIT PARCEL ID NUMBER "l i -t 1 o (9 fg g
Legal Description: �� ' ��4 _ _` / -,,', t
Subdivision Name J'U �yG �Q(�l/J (�i'�VK/y Block Lot(s)
Section Township / North, Range WM
APPLICANT E G�J 6sri( ►' 4 ` `t" PHONE OL O Cg S_a q 3 Q a '
MAILING ADDRESS €(!:7 ' 7 • .
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PROPERTY OWNER •Sri.nte &1 V4AM-L PHONE
MAILING ADDRESS
ZIP
CONTRACTOR 1/1,04rtyk- CIA4v ' PHONE
MAILING ADDRESS
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 , 111141 C A fk. - �.C- DATE 3, / f ( /
FOR OFFICE USE ONLY
BASE FEE E "� P n n G'EtRT#
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TOTAL F E B 1 3 2002 DATE z /IF?, /Zrt-
H:\HOME\PLNCNTR\INFOBLDG\FORMS\INSTALL.DOC11/05/01 _
DEPT.OF COMMUNITY DEVELOPMENT