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HomeMy WebLinkAboutBLD2002-00146 a • 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 #: BLD02-00146 Received Date 3/19/2002 SITE ADDRESS: 141 BACHELOR RD Issue Date 3/19/2002 SEQUIM, 98382 APPLICANT: RICHARD A HOWE 1/3 INT PHONE: BEVERLY F HOWE 2/3 INT 141 BACHELOR RD SEQUIM WA 983828767 SUBDIVISION: Block: Lot: PARCEL NUMBER: 002341007 Section: 34 Township: 30N Range: 02W CONTRACTOR: BEN'S HEATING SERVICE INC PHONE: 360-385-3600 1436 FIR ST PORT TOWNSEND WA 98368 Contractor's License BENSHSI033BS Expires 06/17/2002 OWNER, RICHARD A HOWE 1/3 INT PHONE: if different: BEVERLY F HOWE 2/3 INT 141 BACHELOR RD SEQUIM WA 983828767 PROJECT DESCRIPTION PROPANE TANK AND FURNACE 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 03/19/2003. REQUIRED INSPECTIONS: [ ] �Tank/Line/Ap lianc � LINO �P�lQ.. P_7'r ©/c c,3 -Zo-ate. [ ] FinalApproval: 7K 3-p_s -o-:._ 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 PERMIT APPLI,ION BLD02-00146 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD02-00146 Received Date: 3/19/2002 SITE ADDRESS: 141 BACHELOR RD SEQUIM, 98382 OWNER: RICHARD A HOWE 1/3 INT PHONE: BEVERLY F HOWE 2/3 INT 141 BACHELOR RD SEQUIM WA 983828767 SUBDIVISION: Block: Lot: PARCEL NUMBER: 002341007 Section: 34 Township: 30 N Range: 02 W CONTRACTOR: BEN'S HEATING SERVICE INC PHONE: 360-385-3600 1436 FIR ST PORT TOWNSEND WA 98368 Contractor's License BENSHSI033BS Expires 06/17/2002 REPRESENTATIVE(S): PROJECT DESCRIPTIO PROPANE TANK AND FURNACE 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 Conditions Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $48.00 ZAN 03/19/02 46263 Total: $48.00 JEFFERSON COUNTY COMM*DEVELOPMENT,621 SHERIDAN ST,PORT TA ND WA 98368 PH: (360)379-4450 J/ INSTALLATION PERMIT APPLICATION WOODSTOVE I PROPANE TANK PELLET STOVE '—OTHER ufr /1'` 'C 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): �1f! e/O-C4 ,,-d 6-'4i-4k-A#01Q 2 Lo ZIP 9 DIGIT PARCEL ID NUMBER O©`Z 3 Lj ( 60 7 Legal Description: Subdivision Name Block Lot(s) Lectiosi c'1.46. 3 C/ North, Range Z VVM APPLICANT .1J Lt_.1,,,,i,11:lownship PHONE6b �5"3,6 a MAILING ADDRESS L 69 T- - ZIP 7 �Y D PROPERTY OWNER C. IC YL 444 I/ll (A) "e-- PHONE 7 { / - 7 / .2S MAILING ADDRESS /9/ A Ci(e/ e. .6 4 O./ 6 44-di e c 4./1 ZIP 7?.? 2- CONTRACTOR ]-?/�L S14 G4k I 147 U CC ' PHONE "d 6 d MAILING ADDRESS / y 3 - Q(2� W t i -hu t ZIP 9 ./4 STATE LICENSE# &Ks /45' / 0 E3 i. S EXP.DATE �7/Zoo-2- - FEDERAL I.D.# (Q C I 75-1 8 7 ,/ 0 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 ri of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. APPLICANT SIGNATURE 0749 DATE 3 / ryJ FOR OFFICE USE ONLY BASE FEE 4ri l° RECEIPT# 3 CASH/CK# < /so TOTAL �� DATE 3 // 7 /�i --- H:\HOME\PLNCNTR\INFOBLDG\FORMS\INSTALL.DOC 11/05/01