HomeMy WebLinkAboutBLD2002-00417 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 #: BLD02-00417 Received Date 7/19/2002
SITE ADDRESS: 1700 E MARROWSTONE RD Issue Date 7/19/2002
NORDLAND, 98358
APPLICANT: JOHN G ADAM TRSTEE PHONE: 360-379-6738
GARY D MACMILLAN TRSTEE
PO BOX 174
NORDLAND WA 983580174 T 30
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 921042023 Section: 4 Township: 29N Range: 01E
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2002
OWNER, JOHN G ADAM TRSTEE PHONE: 360-379-6738
if different: GARY D MACMILLAN TRSTEE
PO BOX 174
NORDLAND WA 983580174
PROJECT DESCRIPTION PROPANE TANK AND GAS PIPE
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 07/19/2003.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance: K ("A) /, rAtc_EA II IA) u5 i/2s/� , 1
[ ]CFinalApproval: T)ppve o —Cr C/6 (SEE" 4-145 e.q.k
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
411
17
BUILDING PERMIT APPLICA!ON BReview Type:
Jefferson Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00417 Received Date: 7/19/2002
SITE ADDRESS: 1700 E MARROWSTONE RD
NORDLAND, 98358
OWNER: JOHN G ADAM TRSTEE PHONE: 360-379-6738
GARY D MACMILLAN TRSTEE
PO BOX 174
NORDLAND WA 983580174
SUBDIVISION: Block: Lot: T 30
PARCEL NUMBER: 921042023 Section: 4 Township: 29 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 DESCRIPTIO PROPANE TANK AND GAS PIPE
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
7ti lie 2- 7 te
e
P Forest: C Aquifer
Forest: Commercial Rural
Proximity_ Plat Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $47.00 ZAN 07/19/02 49316
Total: $47.00
E
JEFFERSON COUNTY PERMIT CE•, 621 SHERIDAN ST, PORT TOWNSEND W41368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK PELLET STOVE Y OTHER VJ�i e
SITE ADDRESS: I' ,
911#/ROAD NAME R OO �441„r,
c �j�� ut
`apy- -"4 b.)G ZIP 41 T.)5 6 '
9 DIGIT PARCEL ID NUMBER ,t9. ( v Y.)— 04)-3 r
rx
A '
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Legal Description: 41
��
Subdivision Name Block Lot(s)
4.
't`
Section
Township North, Range WM •-"
fl
APPLICANT M ' -hi ll(((a-7—) Fj 114- /4-44-1y, PHONE 3 ?G - C. 7,2 8 'x.
MAILING ADDRESS to ^ 0 / 7 Y
av`d-Q-0,.d1 ZIP 7' rjj�
PROPERTY OWNER .
c" _ PHONE ;
MAILING ADDRESS
ZIP
CONTRACTOR SU.v1 S H Int_ P2-o pi_ PHONE 38,5-' 37/7
MAILING ADDRESS (0 2?S 3 RH-o b yy 02 .
�.J
Pori- (.k-Ayo L,o c-I c L & . ZIP 5 cr 331
STATE LICENSE # SLAO S I+P . p 7 7 Q P EXP. DATE l I r D�
FEDERAL I.D. # 9 - 1 o 017 8 s7
APPLICANT SIGNATURE �C.(,Lr-c� AO-% w n I / 7 / U �I
� DATE
FOR OFFICE USE ONLY
BASE FEE Liir L/61 l_J /
RECEIPT #
� CASH/CK # 1604
TOTAL l 1 ( CJ'
Y DATE 1/ 19/02
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