HomeMy WebLinkAboutBLD2002-00451 S •
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
PERMIT #: BLD02-00451 Received Date 8/12/2002
SITE ADDRESS: 181 HUCKLEBERRY PL Issue Date 8/12/2002
PORT TOWNSEND, 98368
APPLICANT: JOSEPH N MACKIE PHONE: (360)379-1353
LINDA K MACKIE
PO BOX 1982
PORT TOWNSEND WA 983680070 13
SUBDIVISION: CAPE GEORGE VILLAGE DIV 6 Block: Lot:
PARCEL NUMBER: 941400012 Section: 13 Township: 30N Range: 02W
CONTRACTOR: EMERALD HEARTH AND HOME PHONE: (360)779-7567
20714 SR 305
POULSBO WA 98370
OWNER, JOSEPH N MACKIE PHONE: (360)379-1353
if different: LINDA K MACKIE
PO BOX 1982
PORT TOWNSEND WA 983680070
PROJECT DESCRIPTION INSTALL PROPANE FIREPLACE
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 08/12/2003.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance:
[ ] FinalApproval: - 7�•� o,� "6-2(--S s
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
BUILDING PERMITBLD02-00451
APPLICATIt Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00451 Received Date: 8/12/2002
SITE ADDRESS: 181 HUCKLEBERRY PL
PORT TOWNSEND, 98368
OWNER: JOSEPH N MACKIE PHONE: (360)379-1353
LINDA K MACKIE
PO BOX 1982
PORT TOWNSEND WA 983680070
SUBDIVISION: CAPE GEORGE VILLAGE DIV 6 Block: Lot: 13
PARCEL NUMBER: 941400012 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR: EMERALD HEARTH AND HOME PHONE: (360)779-7567
20714 SR 305
POULSBO WA 98370
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIO INSTALL PROPANE FIREPLACE
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: 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
F&W Landslide
Routing Date: fe,Zi
6 fki ,d Shoreline Aquifer
Forest: Commercial Rural
Proximity Plat Conditior►e
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $47.00 PRB 08/12/02 49473
Total: $47.00
• 0
JEFFERSON COUNTY COMMUNITY DEVELOPMENT,621 SHERIDAN ST,PORT TOWNSEND WA 98368 PH: (360)379-4450
INSTALLATION PERMIT APPLICATION
mg 12
WOODSTOVE Above Ground PROPANE TANK PELLET STOVE >C OTHER 1)4rr,9-. D sl.Qa_tt9
Is this appliance(htg stove, hot water tank,furnace,etc.)to be installed in a Manufactured/Mobs.‘Home?
YES NO
SITE ADDRESS(911#/Road Name):
P(y)A- ( k?Me1Q-n--9 LA I )I1 ZIP 742 lO d
9 DIGIT PARCEL ID NUMBER % /! J 0 0 (% j
Legal Description:
Subdivision Name q Q a sLQ T-).-v— Li, Block Lot(s) %3
Section 3 Township North, Range r? w WM
APPLICANT /\j 12 -- .-('� • , , T PHONE < "7 9-1 3 57,3
MAILING ADDRESS S CJ - .,-
ZIP
PROPERTY OWNER • PHONE
MAILING ADDRESS
ZIP
CONTRACTOR E/Y' O)\ r. cQ \�M #ncr._Q___ PHHOONE{ �n O / " 5�, 7
� 7�
MAILING ADDRESSc (� -1 )90 t�{ .s S 57 ' , 2 p,C
j Qs \.rnff ,,1 (.�0 Pr ZIP 9'S7
3
C
PI)STATE LICENSE# E a ' ' {-F on 1 o EXP.DATE / "8-,2 co oZi
FEDERALI.D.# U QL /yO I j S,S 54,>7
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 right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours.
APPLICANT SIGNATURE -...,oQ._, Illik j¢_.„--, _ DATE l II I (i v2------
FOR OFFICE USE ONLY
BASE FEE 47•03 RECEIPT# tgc!,5
CASH/CK# I
TOTAL 47'D DATE / `M f 217,
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