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HomeMy WebLinkAboutBLD2002-00411 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 #: BLD02-00411 Received Date 7/18/2002 SITE ADDRESS: 510 W UNCAS RD Issue Date 7/18/2002 PORT TOWNSEND, 98368 APPLICANT: RAYMOND E HUNTER PHONE: 510W UNCAS RD PORT TOWNSEND WA 983689358 SUBDIVISION: Block: Lot: PARCEL NUMBER: 902234019 Section: 23 Township: 29N Range: 02W CONTRACTOR: MOUNTAIN PROPANE LLC PHONE: (360)385-6883 265 CHIMACUM RD PORT HADLOCK WA 98339 Contractor's License MOUNTPL994BH Expires 12/14/2002 OWNER, RAYMOND E HUNTER PHONE: if different: 510 W UNCAS RD PORT TOWNSEND WA 983689358 PROJECT DESCRIPTION PROPANE TANK AND HEATER 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 07/18/2003. REQUIRED INSPECTIONS: [ J Tank/Line/Appliance: [ 1 FinalApproval: P..c. C2P C_t..r�e v, (42,1rec— (,-3 V -os' 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 BLD02-0041' 03UILDING PERMIT APPLIC . SON Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00411 Received Date: 7/18/2002 SITE ADDRESS: 510 W UNCAS RD PORT TOWNSEND, 98368 OWNER: RAYMOND E HUNTER PHONE: 510W UNCAS RD PORT TOWNSEND WA 983689358 SUBDIVISION: Block: Lot: PARCEL NUMBER: 902234019 Section: 23 Township: 29 N Range: 02 W CONTRACTOR: MOUNTAIN PROPANE LLC PHONE: (360)385-6883 265 CHIMACUM RD PORT HADLOCK WA 98339 Contractor's License MOUNTPL994BH Expires 12/14/2002 REPRESENTATIVE(S): PROJECT DESCRIPTIO PROPANE TANK AND HEATER 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 NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Floodplain Routing Landslide outing Date: —71 I g/Oa Shoreline Aquifer --� Forest: Commercial Rural Proximity Plat Conditions Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $47.00 ZAN 07/18/02 49308 Total: $47.00 JEFFERSON COUNTY COMMUNITY DEVELOPMENT,621 SHERIDAN ST, PORT TOWND WA 98368 PH: (360)379-4450 INSTALLATION PERMIT APPLICATION t3 f WOODSTOVE X PROPANE TANK PELLET STOVE OTHER `P L l Is this appliance(htg stove, hot water tank,furnace,etc.)to be installed in a Manufactured/Mobile Home? YES >< NO SITE ADDRESS(911 #/Road Name): S� © V�t:Si l)Nc' S {�O�l� . C CO i—[4 ZIP qA -3(1) O 9 DIGIT PARCEL ID NUMBER 9 e 2.. 2_ 3 2 n ( 9 Legal Description: Subdivision Name Block Lot(s) pA,Section Township North, Range cr-y� WM APPLICANT e_V` N�G VL--. PHONE cF7 / 6 7C7- MAILING ADDRESS 3( ) U l.) N)Q.i9 S R i. ' Po ik - 1 61- s e-i L..Q, ZIP 9'6 % PROPERTY OWNER f f� NU4.€ tZ MAILING ADDRESS ._-__. ___ ZIP CONTRACTOR t/'` 6 J ,/tom abtd,,,JE PHONE .365 -- CQ 8g 3 MAILING ADDRESS ::24,S Q.-)-f i t44/4 cOoi )�►/2t�/ -1) /� 001- �1)-D vcF-, UJ4 i ZIP y Z7 ,j 37 STATE LICENSE# EXP. DATE FEDERAL I.D.# By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments, court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and it's employees, representatives or agents for the purpose of application review and any required later inspections. Access and ri t of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. APPLICANT SIGNATURE �� 61/171G/�2 ... DATE / / 1 FOR OFFICE USE ONLY u(� /� BASE FEE LP •C.T� RECEIPT# 49 S3 Vg !�1 CASH/CK# t✓7rI H��J TOTAL 9 4 • v `� DATE ( /I. $/ 0 . - H:\HOME\PLNCNTR\I NFOBLDG\FORMS\I NSTALL.DOC 11/05/01