HomeMy WebLinkAboutBLD2002-00235 • •
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 #: BLD02-00235 Received Date 4/23/2002
SITE ADDRESS: 430 OLYMPUS BLVD Issue Date 4/24/2002
PORT LUDLOW, 98365
APPLICANT: NORMA D BREWER PHONE: (360)437-2537
430 OLYMPUS BLVD
PORT LUDLOW WA 98365-9433
25
SUBDIVISION: OLYMPUS BEACH Block: Lot:
PARCEL NUMBER: 978900018 Section: 4 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, NORMA D BREWER PHONE: (360)437-2537
if different: 430 OLYMPUS BLVD
PORT LUDLOW WA 98365-9433
PROJECT DESCRIPTION: PROPANE TANK& PIPING 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 4/24/2003.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance: ' "_
[ [ FinalApproval: tO jevr-L5 ,--6. ----
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
JEFFERSON COUNTY PERMIT CEN• 621 SHERIDAN ST, PORT TOWNSEND WAS0368 PH: (360) 379-4450 it.-1
INSTALLATION PERMIT APPLICATION
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SITE ADDRESS: �
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Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT e(64G.rL( zr yi W"-' - a 4¢1'' PHONE /17 2j 37
MAILING ADDRESS r i ,
ZIP
PROPERTY OWNER W . PHONE r•
MAILING ADDRESS
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CONTRACTOR Suva 5 N Me._e Pao 19 44,-Q_ PHONE 3 8, - 371 7
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STATE LICENSE # SLR V1,5 f4-P14. 07 7 QP EXP. DATE l I /Ca----
FEDERAL I.D. # 91- 10 q -7 8 s7
APPLICANT SIGNATURE G6e- -c..... An-, " 01, ( DATE Y / o74:9" / O"----
FOR OFFICE USE ONLY
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DEPT. OF COMMUNITY DEVELOPMENT
03UILDING PERMIT APPLICN B RDOe 00235
Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00235 Received Date: 4/23/2002
SITE ADDRESS: 430 OLYMPUS BLVD
PORT LUDLOW, 98365
OWNER: NORMA D BREWER PHONE: (360)437-2537
430 OLYMPUS BLVD
PORT LUDLOW WA 98365-9433
SUBDIVISION: OLYMPUS BEACH Block: Lot: 25
PARCEL NUMBER: 978900018 Section: 4 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):
PROJECT DESCRIPTION PROPANE TANK & PIPING 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
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $47.00 MAM 04/23/02 47500
Total: $47.00