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HomeMy WebLinkAboutBLD2002-00634 • • 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#: BLD02-00634 Received Date 10/24/2002 SITE ADDRESS: 2381 CAPE GEORGE RD Issue Date 10/25/2002 PORT TOWNSEND, 98368 APPLICANT: ALAN J BABBONI PHONE: (360)385-5709 2381 CAPE GEORGE RD PORT TOWNSEND WA 98368-9404 SUBDIVISION: Block: Lot: PARCEL NUMBER: 002124009 Section: 12 Township: 30N Range: 02W CONTRACTOR: CENEX SUPPLY& MARKETING PHONE: (360)732-4585 PO BOX 518 AUBURN WA 98071-0518 Contractor's License CENEXHS022NQ Expires 9/6/2004 OWNER, ALAN J BABBONI PHONE: (360)385-5709 if different: 2381 CAPE GEORGE RD PORT TOWNSEND WA 98368-9404 PROJECT DESCRIPTION: PROPANE TANK 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: Kr i Z-® z. --©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_Perm it_Propane.rpt 10/29/19 Ali tUILDING PERMIT APPLICAON BLD02-00634 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00634 Received Date: 10/24/2002 SITE ADDRESS: 2381 CAPE GEORGE RD PORT TOWNSEND, 98368 OWNER: ALAN J BABBONI PHONE: (360)385-5709 2381 CAPE GEORGE RD PORT TOWNSEND WA 98368-9404 SUBDIVISION: Block: Lot: PARCEL NUMBER: 002124009 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: CENEX SUPPLY& MARKETING PHONE: (360)732-4585 PO BOX 518 AUBURN WA 98071-0518 Contractor's License CENEXHS022NQ Expires 9/6/2004 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr PROPANE TANK 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: 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 Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $47.00 MAM 10/24/02 51262 Total: $47.00 JEFFERSON COUNTY COMMUNITYDEVELOPMENT,621 SHERIDAN ST,PORT TOWNS ND WA 98368 PH: (360)379-4450 INSTALLATION PERMIT APPLICATION WOODSTOVE 2/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): ^ /' ?3eJ Af��f 6#__.t31,2‘fD Fr- 00,16 0)1 ZIP al E365. 9 DIGIT PARCEL ID NUMBER �V -- / �' D/ D!Y CI Legal Description: Subdivision Name Block Lot(s) Section Township North, Range WM APPLICANT 41_ }/4�,// o}1I I PHONE 38 ' O 7 MAILING ADDRESS 9-3 2 I �4P .. ‘-;..z'v/2 1 , /2 h / 7 d i7 T I (�Gv�v�iV-lt� V0 11 ZIP 9g 3(J PROPERTY OWNER , ► 1 1 PHONE , 5 - �-74,9 MAILING ADDRESS l'' -1.--,52,) 9j)7 'C. YL a T Zvi r Tur1� ce,✓k , OA ZIP /g3e �j r3 CONTRACTOR efelx, PHONE t--7g 2 - 1-c MAILING ADDRESS a 1�Xr 2.4` • _ ^� Q 14-1/VI k4.44 , / L4 & ZIP / 5 2..-- 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 right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. e.......7 APPLICANT SIGNATURE DATE/0 / v BASE FEE ® LE C IE U U LS CEIPT# 12Jp2 _.----1 ( SH/CK# Cf4S E-I TOTAL 4 w .. OCT 2 4 2002 TE 10 /24/OZ ram_DEPT. OF H:\TOME\PLNCNTR\INFOBLDGIFORMS\INSTALL.DOC11/05/01 �C' y j Y COMMMMUNITY DEVELOPMENT