HomeMy WebLinkAboutBLD2002-00098 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 #: BLD02-00098 Received Date 2/25/2002
SITE ADDRESS: 290 TALA SHORE DR Issue Date 2/26/2002
PORT LUDLOW, 98365
APPLICANT: FRITZ GORDON PHONE:
NANCY GORDON
8202 SR 104 STE 102#253
KINGSTON WA 98346 2
SUBDIVISION: TALA SHORES#3 Block: Lot:
PARCEL NUMBER: 998200302 Section: 15 Township: 28N 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
OWNER, EVERT L WISTROM PHONE:
if different: 3304 S 249TH PL
KENT WA 980324136
PROJECT DESCRIPTION PROPANE TANK - PIPE &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 02/26/2003.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance:" 7 g 4 1PPL1i4tJ QK et/7/ .0*
FinalApproval: Ok G b
[;7 PP or 4/7��3/
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
BUILDING PERk APPLICATION BRD02 00eview 098
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00098 Received Date: 2/25/2002
SITE ADDRESS: 290 TALA SHORE DR
PORT LUDLOW, 98365
OWNER: EVERT L WISTROM PHONE:
3304 S 249TH PL
KENT WA 980324136
SUBDIVISION: TALA SHORES#3 Block: Lot: 2
PARCEL NUMBER: 998200302 Section: 15 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): FRITZ GORDON
NANCY GORDON
8202 SR 104 STE 102#253
KINGSTON WA 98346
PROJECT DESCRIPTIO PROPANE TANK - PIPE & 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 02/25/02 45804
Total: $48.00
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 1360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE X PROPANE TANK PELLET STOVE > OTHER 74-v- p cla.2 S k¢. i)-L.A_
SITE ADDRESS: � , w=
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Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
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CONTRACTOR Su.n s M I n Q. P2o P A-P-Q... PHONE 3 85 - 3-79 7
MAILING ADDRESS (0 g 5 3 R IB o 02 .
Pori N 3Louc.. OA . '" ZIP 5d' 33C
STATE LICENSE # SL-1 VI S FE P 07 7 Q p EXP. DATE 11 /D'/ _
FEDERAL I.D. # 9 l- 10 (178S-7
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APPLICANT SIGNATURE �GC,/"'c••— An, ' ay, DATE / 4-2Zj O 2---
FOR OFFICE USE ONLY
BASE FEE RECEIPT # 14 5 C)0 y
DE D 0„ v E CASH/CK # --+GSLI
TOTAL DATE .2 5/O2
F E B 2 5 200i-
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DEPT. OF COMMUNITY DEVELOPMENT