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BLD2002-00168
• 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 #: BLD02-00168 Received Date 3/27/2002 SITE ADDRESS: 80 MARINER PL Issue Date 3/27/2002 PORT LUDLOW, 98365 APPLICANT: CARL T BLUM PHONE: KATHLEEN A BLUM 354 HIGHLAND DR PORT LUDLOW WA 983658753 5 SUBDIVISION: BAYVIEW VILLAGE DIV 2 Block: Lot: PARCEL NUMBER: 931900005 Section: 16 Township: 28N Range: 01E CONTRACTOR: MOUNTAIN PROPANE PHONE: (360)385-6883 265 CHIMACUM RD PORT HADLOCK WA 98339 Contractor's License MOUNTPL994BH Expires 12/14/02 OWNER, CARL T BLUM PHONE: if different: KATHLEEN A BLUM 354 HIGHLAND DR PORT LUDLOW WA 983658753 PROJECT DESCRIPTION Propane tank,furnace and fireplace 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 3/27/03. REQUIRED INSPECTIONS: [ ) Tank/Line/Appliance: '1/ i' Za2 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 \F_BLD_Permit_Propane.rpt 10/29/99 BUILDING PERMIT APPLICfrION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00168 Received Date: 3/27/2002 SITE ADDRESS: 80 MARINER PL PORT LUDLOW, 98365 OWNER: CARL T BLUM PHONE: KATHLEEN A BLUM 354 HIGHLAND DR PORT LUDLOW WA 983658753 SUBDIVISION: BAYVIEW VILLAGE DIV 2 Block: Lot: 5 PARCEL NUMBER: 931900005 Section: 16 Township: 28 N Range: 01 E CONTRACTOR: MOUNTAIN PROPANE PHONE: (360)385-6883 265 CHIMACUM RD PORT HADLOCK WA 98339 Contractor's License MOUNTPL994BH Expires 12/14/02 REPRESENTATIVE(S): PROJECT DESCRIPTIO Propane tank, furnace and fireplace 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: 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: 2 F&W Landslide /-2„._.7 (02 P Shoreline Aquifer Forest: Commercial Rural Proximity Plat Conditions Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $48.00 PRB 03/27/02 45894 Total: $48.00 MAR 27'72 14:02 FR INTERLIEST POULSBO 3E0 779 5525 TO 1319.03794 Figs F.02/02 .JC.rr w v—u 03/27/2002 13;12 360371111 • JEFFERSON CODNL� INSTALLATION PERMFV APPLICATION WO O TQVE : PRQPA14 TANK.' _PELLET STOVE I•o is this app W nce(rtg stove,hot water tank,furnace,etc.)to be}wed in a ManufacturedIMob�Home? -.NO SITE ADDRESS(p14#!R+zad Nam): e DIC4T PARS.ID NUMBER,____ , ~• . Legal Description: 84, .V t�I�Its 1 r tom' e4OL -. L& '� Subdivl�an Na<ne �-'� Towitship—S2ZA1/ North, Range Z' ' Vt4vi 36,(5 (37- 7 ?// horn-e, APPLICANT ► c4.- PL. 8/1.4, Pi Ib _Cc,© 7)qr,03 .3 crt.fy u• MAIUNC}ADDRESS V+{�� 0. / //�I'(}� /,k= !"I J/c-e (y� ram} (/J�} )i 4^'+J i.�/i ) *'V{h+'. ['L ✓ — i r3r-,ten PROPERTY O NERLA R L L--�I AA/ r �c i __ __3 i0 ? pia /t t CONTRACTOR ou j 1 Q11.�.1 MAIL INo ADDRESS ZIP — Fes'-DATE— —" STATE LJCE dSE$ FEDERAL L0.# .—.,__ t k null and void. $y aEgpinq the gppypatmn form.the a��C�tlav+rnar atteatr that the uilinformation.information.provided heheretoIscae end correct too the nest of their r W+cwledgs. y i al falsehood or any omission of a material fact reads by the icantfownar with respaat to this appticetian packet may Mutt to i�t 9 further agree to Uwe,indemnify end hold h*vmitrit Jefferson County against an n*tikties.judgments,court costs,fefxtsxsebfa attamey'a feed an4 tixtmostis whioh1 may„any way scone against Jefferson County as a raautt or or in CORge4Venue of the looming of tie pK • right of orrery to.Mffaraon ODO tV and 91'a crrtprt.•raes,representatives or mCenw for the purpaas of eppticetlon review and arty 1 qu r further agrac totionprovider Aces arid rgto the winnowers prgparay or structure shall be reaw$2ad and shall occur chain*rep,Aar business hou►a- requGeC fatvr+nape�tieru. Access and right of ry D , pAT6,03 f_ci7_, , APP{,�•Al37',B1C�NATU� 1 . r. 'kti !}'.HOM,MT,'U,ICV4.M ,yFOOLD<SFORaralltaSTALLi70G1 tiOryOS 360 c'94451 PAGE.001 �*tt� 2'7 '02 11=4� ** TOTAL FA E.302 :*:*: