HomeMy WebLinkAboutBLD2002-00091 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 #: BLD02-00091 Received Date 2/21/2002
SITE ADDRESS: 1130 VAN TROJAN RD Issue Date 2/21/2002
CHIMACUM, 98325 Expiration Date 2/21/2003
APPLICANT: HENNER R SCHRODER PHONE: (360)732-4272
MELANIE MC GRORY
PO BOX 159
CHIMACUM WA 98325-0159 T 20
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 901222013 Section: 22 Township: 29N 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, HENNER R SCHRODER PHONE: (360)732-4272
if different: MELANIE MC GRORY
PO BOX 159
CHIMACUM WA 98325-0159
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 02/21/2003.
REQUIRED INSPECTIONS:
[ I Tank/Line/Appliance: 0/c c -7-0-o z
[/FinalApproval: pk 7-1 7-o z
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
1
BUILDING PERIV lT APPLICATION BeDOw Typ e:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00091 Received Date: 2/21/2002
SITE ADDRESS: 1130 VAN TROJAN RD
CHIMACUM, 98325
OWNER: HENNER R SCHRODER PHONE: (360)732-4272
MELANIE MC GRORY
PO BOX 159
CHIMACUM WA 98325-0159
SUBDIVISION: Block: Lot: T 20
PARCEL NUMBER: 901222013 Section: 22 Township: 29 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 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
F&W Landslide
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
Proximity Plat Condition.
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 02/21/02 45747
Total: $48.00
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 13601 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE X PROPANE TANK PELLET STOVE rx OTHER j6C-AQ n g' s
SITE ADDRESS: � x
-
911#/ROAD NAME j 13 V6 ,\ win ° M:
C-GA-1 V-l- 6 c L4-"-.�-, Li)G- ZIP c e3,.. S
9 DIGIT PARCEL ID NUMBER 90 f 0 D 0
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT 14 01/JP-le,_, AA,--o e ea'e---i' PHONE ,- "` ) 7
MAILING ADDRESS p,) c /S
---1/2/ << e --`-_ (Jl ZIP 9/jam i _
PROPERTY OWNER 4p e PHONE 73 d ��-7-1
MAILING ADDRESS
ZIP
CONTRACTOR SU vl S M in e. P 20 0? #&.. PHONE 3 85-- 57q 7
MAILING ADDRESS (0 $S 3 QI.1-D fp y 02 .
Pori- 14-1q10 Lp C.I C c )'. . zip S�' 3 3 `1
STATE LICENSE # SL vl S I+P y 07 7 Q p EXP. DATE I I /D
FEDERAL I.D. # 9 l- I o g 7 8 S 7
•
APPLICANT SIGNATURE CC-GC-/"c- - An, " ov- DATE / /cf)/ 6 2--
FOR OFFICE USE ONLY
BASE FEE DI
E C 1 0 V E ;EIPT # Li cj �
5H/CK # -7 (o`,2
TOTAL _ 11 FEB 21 2002 44f(' E Z /Z ( 10,L
DEPT. OF COMMUNITY DEVELOPMENT
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