HomeMy WebLinkAboutBLD2002-00337 • •
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 #: BLD02-00337 Received Date 6/12/2002
SITE ADDRESS: 1090 PAYNE RD Issue Date 6/13/2002
QUILCENE, 98376
APPLICANT: DABOB BAY ASSOCIATES, LLC PHONE: (206)382-9955
KELLY CARROLL
507 WESTLAKE AVE N STE 200
SEATTLE WA 98109 T 2
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 601283007 Section: 28 Township: 26N 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, DABOB BAY ASSOCIATES, LLC PHONE: (206)382-9955
if different: KELLY CARROLL
507 WESTLAKE AVE N STE 200
SEATTLE WA 98109
PROJECT DESCRIPTION: PROPANE TANK, PIPE, FURNACE &WATER HEATER
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 6/13/2003.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliancee1 Z) gq/2-7,4/
[ ] FinalApproval: _. 1--% -03 r- -Y; p.a.,) � :?/7
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 APPLICASN B RD02 0033eview �37
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00337 Received Date: 6/12/2002
SITE ADDRESS: 1090 PAYNE RD
QUILCENE, 98376
OWNER: DABOB BAY ASSOCIATES, LLC PHONE: (206)382-9955
KELLY CARROLL
507 WESTLAKE AVE N STE 200
SEATTLE WA 98109
SUBDIVISION: Block: Lot: T 2
PARCEL NUMBER: 601283007 Section: 28 Township: 26 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, PIPE, FURNACE & WATER HEATER 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 06/12/02 47909
Total: $47.00
JEFFERSON COUNTY PERMIT CENT.21 SHERIDAN ST, PORT TOWNSEND WA •68 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
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SITE ADDRESS:
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911#/ROAD NAME JO c0 P 4s
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9 DIGIT PARCEL ID NUMBER ( O/ a 8 3 0 07
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT <to// 1 �/�/,�r Jr.../I _ PHONE � G �j 2.5_5
MAILING ADDRESS ` 37 .40 4( ' /J , T
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PROPERTY OWNER ,a5. ,7�� PHONE
MAILING ADDRESS
c
ZIP
CONTRACTOR Sun s N Ind.. Pao P 41..Q _ PHONE )8,5-- 57/7
MAILING ADDRESS 104753 Q I b 4 0 2 .
Porr Hick.°Lo uc (.J&. . e
ZIP 5 f 33 e(
STATE LICENSE # St,,,WI,5 f{.P 07 7 QF, EXP. DATE I I /O�
FEDERAL I.D. # 91- I 0 q -7 8 s7
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APPLICANT SIGNATURE `t.GG.^-c--- ,dJi-%
l DATE 6 / /° / o 1---
FOR OFFICE USE ONLY
BASE FEE rr�� (� RECEIPT # 1-439o9
D EC 1? OWE 1! ;1/CK # -4�y.9
TOTAL �-4 OV / I / OR_
.. 11 JUN 1 2 20Q
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DEPT. OF COMMUNITY DEVELOPMENT