HomeMy WebLinkAboutBLD2002-00239 �
UILDING PERMIT APPLICAO BLD02-00239
N Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00239 Received Date: 4/25/2002
SITE ADDRESS: 10364 RHODY DR
CHIMACUM, 98325
OWNER: EDWARD L DAVIS PHONE: (360)385-4739
SARA S DAVIS
PO BOX 1596
PORT HADLOCK WA 98339-1596
SUBDIVISION: Block: Lot: T 72
PARCEL NUMBER: 901101020 Section: 10 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 DESCRIPTION PROPANE TANK & 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
Routing Date: F&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $47.00 MAM 04/25/02 47555
Total: $47.00
JEFFERSON COUNTY PERMIT CEN• 621 SHERIDAN ST, PORT TOWNSEND Wip368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
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WOODSTOVE PROPANE TANK PELLET STOVE OTHER �
SITE ADDRESS: / �1�l y
911#/ROAD NAME /03 (o J/ / d� ir.
fri7a e /4-t Lt ZIP f d�3�sr
9 DIGIT PARCEL ID NUMBER 9 0 i / 6 ( 0 .1- U
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT /'
C.L PHONE
MAILING ADDRESS 6C ,
ZIP
PROPERTY OWNERQo PHONE 3 E.S 4/73
MAILING ADDRESS �J
ZIP
CONTRACTOR SI.CVI S I-1 I r1 Q. P 20 p Imo_ PHONE 3 8S- S79 7
MAILING ADDRESS 104753 R.1.4-0 t`J Q 2
Po,rr f+fly3 L o c.lC c.0-4 • ZIP 5 33 `(
STATE LICENSE # StA VI s I+p o 7 7 Q p EXP. DATE 11 r Og_
FEDERAL I.D. # 91- 10 ct 7 8 S 7
•
APPLICANT SIGNATURE 4n, DATE / ;;-/ 0
FOR OFFICE USE ONLY
BASE FEE E C f1 �E CEIPT #
1ASH/CK # I c,
TOTAL
APR 2 5 „von I I1tATE LI QS/02
DEPT, OF COMMUNITY CEVE CPMENT
H:\HOME\PLNCNTR\FORMS\INSTALL OOC4/98
•
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 #: BLD02-00239 Received Date 4/25/2002
SITE ADDRESS: 10364 RHODY DR Issue Date 4/26/2002
CHIMACUM, 98325
APPLICANT: EDWARD L DAVIS PHONE: (360)385-4739
SARA S DAVIS
PO BOX 1596
PORT HADLOCK WA 98339-1596 T 72
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 901101020 Section: 10 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, EDWARD L DAVIS PHONE: (360)385-4739
if different: SARA S DAVIS
PO BOX 1596
PORT HADLOCK WA 98339-1596
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 4/26/2003.
REQUIRED INSPECTIONS:
[ �r awnW�-�i e/ nce:A Ra PP
[ ] FinalApproval:
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