HomeMy WebLinkAboutBLD2002-00082 8 #
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 #: BLD02-00082 Received Date 2/15/2002
SITE ADDRESS: 151 N BEACH DR Issue Date 2/19/2002
PORT LUDLOW, 98365 Expiration Date 2/19/2003
APPLICANT: JON K FROULA PHONE: (360)437-002416
NANCY FROULA
151 N BEACH DR
PORT LUDLOW WA 98365 27&2
SUBDIVISION: BRIDGEHAVEN DIV 7 Block: 7 Lot:
PARCEL NUMBER: 935700026 Section: 16 Township: 27N 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, JON K FROULA PHONE: (360)437-002416
if different: NANCY FROULA
151 N BEACH DR
PORT LUDLOW WA 98365
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 02/19/2003.
REQUIRED INSPECTIONS: ----'
[ ] Ilier Line 'RElianc) O/C ,2-27-6 `Z. PC r M GVsik 6.. #"ter
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[ ] FinalApproval: 01 2- -2-7-0- -
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
i:\F_BLD_Permit_Propane.rpt 10/29/19
BL
082
BUILDING PERMIT APPLICATION Review
Type:Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00082 Received Date: 2/15/2002
SITE ADDRESS: 151 N BEACH DR
PORT LUDLOW, 98365
OWNER: JON K FROULA PHONE: (360)437-002416
NANCY FROULA
151 N BEACH DR
PORT LUDLOW WA 98365
SUBDIVISION: BRIDGEHAVEN DIV 7 Block: 7 Lot: 27&2
PARCEL NUMBER: 935700026 Section: 16 Township: 27 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 & 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
Routing Date: F&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
Proximity Plat C®nditiont
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 02/15/02 45734
Total: $48.00
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 1360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE ( PROPANE TANK PELLET STOVE //OTHER G
SITE ADDRESS: ,, f
911#/ROAD NAME / 5 / /V
r ZIP q 6234'
9 DIGIT PARCEL ID NUMBER _-3.5 -7 OcNZ-(c
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT 0-4-‘ ert:' G. q�,
PHONE 171J 7
MAILING ADDRESS
ZIP
PROPERTY OWNER )47 & a-c.if PHONE
MAILING ADDRESS
ZIP
CONTRACTOR SLIM S N in Q Pa-OP PHONE a 8,5-' 5717
MAILING ADDRESS 104753 RN-D b j 02 .
Porn- Fl-AY3 La U C L)& . ZIP 5 se 3 3 `l
•
STATE LICENSE # Sw i S tf p i( 0 7 7 Q P EXP. DATE I I /o ff
FEDERAL I.D. # 9I_ i C t1 7 8 s7
APPLICANT SIGNATURE �1�./'� ,0� ' a►.- ( DATE c9-/ /f/FOR OFFICE OFFICE USE ONLY
BASE FEE (� (� p U n (� �EIPT # 11571
/
DD L; 3H/CK # -
r
TOTAL 11 FEB 1 5 2002 TE
H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98 DEPT.OF COMMUNITY DEVELOPMENT