HomeMy WebLinkAboutBLD2002-00293 0 •
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 #: BLD02-00293 Received Date 5/16/2002
SITE ADDRESS: 73 MARTINGALE PL Issue Date 5/17/2002
PORT LUDLOW, 98365
APPLICANT: WILLIAM R STROY PHONE: (360)437-5031
73 MARTINGALE PL
PORT LUDLOW WA 98365
42
SUBDIVISION: BAYVIEW VILLAGE DIV 3 Block: Lot:
PARCEL NUMBER: 931900042 Section: 16 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, WILLIAM R STROY PHONE: (360)437-5031
if different: 73 MARTINGALE PL
PORT LUDLOW WA 98365
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 5/17/2003.
REQUIRED INSPECTIONS:
i
[ ] Tan ppliance: htue- TEST eE7er Ieedute-s-reD * ?e 5/z/o3 Ai-
- (/4/uK DK SOA
[ ] FinalApproval: (") 5fr/43 1/
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
UILDING PERMIT /PON B Review
Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00293 Received Date: 5/16/2002
SITE ADDRESS: 73 MARTINGALE PL
PORT LUDLOW, 98365
OWNER: WILLIAM R STROY PHONE: (360)437-5031
73 MARTINGALE PL
PORT LUDLOW WA 98365
SUBDIVISION: BAYVIEW VILLAGE DIV 3 Block: Lot: 42
PARCEL NUMBER: 931900042 Section: 16 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 & 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:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: 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 05/16/02 47671
Total: $47.00
JEFFERSON COUNTY PERMIT CENS 621 SHERIDAN ST, PORT TOWNSEND WA 68 PH: (360) 379-4450 �j L17
i
INSTALLATION PERMIT APPLICATION
WOODSTOVE ✓ PROPANE TANK PELLET STOVE ✓OTHER lam, / L- -
SITE ADDRESS:
911#/ROAD NAME 73 iin a-✓!/y/r l, ki cc_
Pi . �>•A-3 06- ZIP gd2.36j—
9 DIGIT PARCEL ID NUMBER '3 ( 900 0,0_
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT Ca) . &: ;G_ J t y Ui. PHONE 1/.3 7 -.S d (
MAILING ADDRESS S .
ZIP
PROPERTY OWNER C Rriply-`.°-)-_& PHONE
MAILING ADDRESS
ZIP
CONTRACTOR Sun s H l n e P2o P anA-_ PHONE 3 85 ' ,57y 7
MAILING ADDRESS (0 $$3 Q 1-4-o rt 02 ,
Porr 14-AY3 up c.Ic (.,4 • ZIP 5 f 33 `(
'
STATE LICENSE #
S!.-1 VI S F!-A14- O 7 7 Q P EXP. DATE ! I r Og.)_
FEDERAL I.D. # 9 l- 10 Ct 7 g s 7
APPLICANT SIGNATURE `l.C,l.e-c•.- 4' 4 e DATE 6 / /y I O?-----
FOR OFFICE USE ONLY
BASE FEE LSl
(� [ I RECEIPT # 1'7G I
_-I �—DOVE---- 1 CASH/CK # -22
TOTAL
MAY 1 6 2002 j„J i DATE / 1lc./
0,1,_i:JJ s v..J11r,l
DEPT. OF COMMUNITY DEVELOPMENT
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