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HomeMy WebLinkAboutBLD2002-00455 • • 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 #: BLD02-00455 Received Date 8/13/2002 SITE ADDRESS: 253 MYRTLE ST Issue Date 8/13/2002 PORT TOWNSEND, 98368 APPLICANT: KEVIN L CROCKETT PHONE: 360-385-5906 TARA M CROCKETT 253 MYRTLE ST PORT TOWNSEND WA 98368 10 SUBDIVISION: OCEAN GROVE ESTATES#2 Block: 7 Lot: PARCEL NUMBER: 977100719 Section: 24 Township: 30N Range: 02W CONTRACTOR: EVERWARM INC PHONE: 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 8/17/2004 OWNER, KEVIN L CROCKETT PHONE: 360-385-5906 if different: TARA M CROCKETT 253 MYRTLE ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: WOODSTOVE 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 8/13/2003. REQUIRED INSPECTIONS: [ ] Tank/Line/Appliance: ©tom g )Y Z( 6 L- [ ] FinalApproval: "..se_ F ( Vzi„/p z..._- 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 APPLICAIAON B RDOe 00238 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00455 Received Date: 8/13/2002 SITE ADDRESS: 253 MYRTLE ST PORT TOWNSEND, 98368 OWNER: KEVIN L CROCKETT PHONE: 360-385-5906 TARA M CROCKETT 253 MYRTLE ST PORT TOWNSEND WA 98368 SUBDIVISION: OCEAN GROVE ESTATES#2 Block: 7 Lot: 10 PARCEL NUMBER: 977100719 Section: 24 Township: 30 N Range: 02 W CONTRACTOR: EVERWARM INC PHONE: 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 8/17/2004 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION WOODSTOVE 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 08/13/02 49430 Total: $47.00 i31 po-L_ cuss JEFFERSON COUNTY COMMUNITYDEVELOPMENT,621 SHERIDAN ST,PORT TOWNOD WA 98368 PH: (360)379-4450 INSTALLATION PERMIT APPLICATION �'/WOODSTOVE Above Ground PROPANE TANK PELLET STOVE OTHER 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): 353 (A r .S -. ? -7eJ (LJ?- 631 Q© 12 ZIP 9 DIGIT PARCEL ID NUMBER -T7 IX 71 _/ Legal Description: Subdivision Name Block Lot(s) Section Township North, Range /WM APPLICANT I (� °I �c�W tii Cfr0 Ltt PHONE 6� ���� 5 o b MAILING ADDRESS d-5 MAv,\ S P � � G� n �� vv�I "C CS O( U ZIP Cd0 PROPERTY OWNER a` v7--4-'1-4. VII C!�,n6� CJ PHONE A) - 3 s- -c c MAILING ADDRESS ? 3 vT 2 / - pry 4- �G IS ZIP " d( ' CONTRACTOR fi Oa-VW. �[ PHONE 09rj MAILING ADDRESS ` S.-( 7 I Q i 6r'ci- 1411/L2,0 g ZIP -t/ 3b STATE LICENSE# Lie R W ( D g3 N EXP.DATE ! 11 d i-P. 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 right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. APPLICANT SIGNATURE J `'" C"l4'5 DATE v / !3/ 0 FOR OFFICE USE ONLY BASE FEE RECEIPT# 1-11 3 D CASH/CK# r 4-I TOTAL L j/ (rt.) DATE / HA HOME