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HomeMy WebLinkAboutBLD2002-00631 • • 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 #: BLD02-00631 Received Date 10/23/2002 SITE ADDRESS: 431 TAISON LN Issue Date 10/25/2002 QUILCENE, 98376 APPLICANT: KRISTEN D POST PHONE: BRIAN M POST 431 TAISON LN QUILCENE WA 98376-8553 T 45 SUBDIVISION: Block: Lot: PARCEL NUMBER: 801321014 Section: 32 Township: 28N Range: 01W CONTRACTOR: EVERWARM INC PHONE: 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 8/17/2004 OWNER, KRISTEN D POST PHONE: if different: BRIAN M POST 431 TAISON LN QUILCENE WA 98376-8553 PROJECT DESCRIPTION: WOODSTOVE INSERT 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 10/25/2003. REQUIRED INSPECTIONS: [ ] Tank/Line/Appliance: [ ] FinalApproval: 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 0 AT UILDING PERMIT APPLICON BL Review T Ty y631 pe: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00631 Received Date: 10/23/2002 SITE ADDRESS: 431 TAISON LN QUILCENE, 98376 OWNER: KRISTEN D POST PHONE: BRIAN M POST 431 TAISON LN QUILCENE WA 98376-8553 SUBDIVISION: Block: Lot: T 45 PARCEL NUMBER: 801321014 Section: 32 Township: 28 N Range: 01 W CONTRACTOR: EVERWARM INC PHONE: 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 8/17/2004 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr WOODSTOVE INSERT 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: 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 10/23/02 51253 Total: $47.00 JEFFERSON COUNTY COMMULIINEVELOPMENT,e21 SHERIDAN_ST PORT TOWN•V E 98368 PH: (36QI37Q79450 INSTALLATION PERMIT APPLICATION WOODSTOVE PROPANE TANK PELLET STOVE - OTHER r[;i1L. Is this appliance (htg stove, hot water tank, furnace, etc.) to be installed in a Manufactured/Mobile Home? YES 1' —NO SITE ADDRESS(911 #1 Road Name); t:/y/ `Ti •sort/ 1-c/c/ l7Z - ZIP , . �C✓ r 9 DIGIT PARCEL ID NUMBER gQ/ ©// Legal Description: Subdivision Name Block Lot(s)� Section Township North, Range 4\ APPLICANT 44. F v 75/ PHONE 76CT- MAILING ADDRESS 431 7:1 4" _ 1 At J 0�Lerit1f — ZIP 9.- PROPERTY OWNER PHONE MAILING ADDRESS ZIP CONTRACTOR t/44}17e PHONE MAILING ADDRESS �l/�/'L—�l/.,��___�___ -- ZIP STATE LICENSE# off ... EXP. DATE $'17-" 2�o(-- / FEDERAI, I p # 9/— /5- 0 70 5 _ ttt---- By signing the application form, the 8ppligant/Owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or snv 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. further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments, court costs, reasonable attorney's fees and exoenses whiCrn may in any way accrue agarrist Jefferson County es a result of or in consequence of the granting of this permit. I furu`er 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 re;ii.:,red later inspections. Access end right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. APPLICANT SIGNATURE DATE/b /02- _I d FOR OFFICE USE ONLY EASE FEE 47 7 Cd RECEIPT# 51153 OD , LS CLS O V l5 2 ASHrCK# CAA SO •[ TQTAL O r lb DATE r /,a-. T- J rW t OMnot.NCINTR,INFOSLOG'rFORMSIINSTALL,DOC11/Ob,''Ot d ` I r\eQgT 2 2` L0Il1G. JEE DEPT. OF COMMUNITY DEVELOPMEN TO, T i aE -4 CDC I].? PT 1 c