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HomeMy WebLinkAboutBLD2002-00358 BLD02-00358 41RUIL PERMIT APPLICA•N Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00358 Received Date: 6/21/2002 SITE ADDRESS: 737 MISTY RIDGE RD PORT TOWNSEND, 98368 OWNER: LAURENCE E STAY PHONE: (360)765-4432 HARRIET STAY PO BOX 1201 PORT TOWNSEND WA 98368-0901 SUBDIVISION: SKY VIEW HEIGHTS Block: Lot: 8 PARCEL NUMBER: 902225008 Section: 22 Township: 29 N Range: 02 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 DESCRIPTIOP PROPANE TANK 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: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: PARCEL TAGS: YES----NO _ BEDROOMS: BATHROOMS: STORMWATER: YES _ NOAREA 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 06/21/02 48032 Total: $47.00 • • 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 #: BLD02-00358 Received Date 6/21/2002 SITE ADDRESS: 737 MISTY RIDGE RD Issue Date 6/24/2002 PORT TOWNSEND, 98368 APPLICANT: LAURENCE E STAY PHONE: (360)765-4432 HARRIET STAY PO BOX 1201 PORT TOWNSEND WA 98368-0901 8 SUBDIVISION: SKY VIEW HEIGHTS Block: Lot: PARCEL NUMBER: 902225008 Section: 22 Township: 29N Range: 02W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP*077QP Expires 11/17/2002 OWNER, LAURENCE E STAY PHONE: (360)765-4432 if different: HARRIET STAY PO BOX 1201 PORT TOWNSEND WA 98368-0901 PROJECT DESCRIPTION: PROPANE TANK 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 6/24/2003. REQUIRED INSPECTIONS: [ an ine ppliance: ' /� ,/`�,/Oz, [`� inalAppro alb 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 CENT10621 SHERIDAN ST, PORT TOWNSEND WA 068 PH: (3601 379-4450 lo t INSTALLATION PERMIT APPLICATION WOODSTOVE i( PROPANE TANK PELLET STOVE OTHER SITE ADDRESS: I `' i" 911#/ROAD NAME ` 3 7 i S (149-- l ) ' " ZIP ei6d' 9 DIGIT PARCEL ID NUMBER 90 j - - a a - c... .0 8 Legal Description: Subdivision Name y Block Lot(s) Section Township North, Range WM APPLICANT 1 5 ' UY4�YY 7 , PHONE %S" T Y--3 2-- MAILING ADDRESS © '� /a CD / PROPERTY OWNER PHONE e i MAILING ADDRESS ZIP CONTRACTOR Sltvl S H in e Pa-0 P a.ri.Q_ PHONE 3 8c- 5717 MAILING ADDRESS (D Q 5 3 Q.1..1.0 rt 0 2 , • Porr t Lc) c.lc t.L?c. . e. ZIP i'd' 33`( STATE LICENSE # SL.IVI.SI-Pi( O77QP EXP. DATE 1It0 FEDERAL I.D. # 91- I O c1 '7 8 S 7 , APPLICANT SIGNATURE CC-LGe-'c,--- An-‘An-‘ ( DATE 6 / / J- / 0 2- -FOR OFFICE E(�USE�ONLY (� BASE FEE D I Vv I? I U�p i.S EIPT # LiVD-j')-„ TOTAL �( JUN 2 1 2002 SH/cK # 5 �A'f E �O /J4/6 KEPT. Gt S^MMUNITY BCVMLOf MCNT H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98