HomeMy WebLinkAboutBLD2004-00329 lib
UILDING PERMIT APPLIC/ON MLLA04Revie -00p245
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00329 Received Date: 5/20/2004
SITE ADDRESS: 1520 E QUILCENE RD
QUILCENE, 98376
OWNER: KRISTIN KENNELL PHONE: (206) 361-7777
PO BOX 598
QUILCENE WA 98376-0598
SUBDIVISION: Block: Lot: TX 43
PARCEL NUMBER: 701191016 Section: 19 Township: 27 N Range: 01 W
CONTRACTOR: PRATT CONSTRUCTION COMPANY PHONE: (360) 452-3360
112JSHEAWAY
PORT ANGELES WA 98362
Contractor's License PRATTCC210JL Expires 3/25/2005
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI' DEMOLISH HOUSE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP DEM
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
S Zi loy Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $48.00 KAS 05/20/04 64467 APPROVED
State Building Code $4.50 KAS 05/20/04 64467
Total: $52.50 JUN 2 8 2004
Jefferson County Mannino
& Building Oepartmenf
DEMOLITION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00329 Received Date 5/20/2004
SITE ADDRESS: 1520 E QUILCENE RD
QUILCENE, 98376 Issue Date 6/28/2004
APPLICANT: KRISTIN KENNELL
PO BOX 598 PHONE: (206)361-7777
QUILCENE WA 98376-0598
SUBDIVISION: TX 43
Block: Lot:
PARCEL NUMBER: 701191016 Section: 19 Township: 27N Range: 01W
CONTRACTOR: PRATT CONSTRUCTION COMPANY
112 J SHEA WAY PHONE: (360)452-3360
PORT ANGELES WA 98362
Contractor's License PRATTCC210JL Expires 03/25/2005
OWNER, KRISTIN KENNELL
if different: PO BOX 598 PHONE: (206) 361 7777
QUILCENE WA 98376-0598
PROJECT DESCRIPTION: DEMOLISH HOUSE
THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 06/28/2005.
REQUIRED INSPECTION:
[ j FinalApproval: ()K �4 ( 5 /15
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
I:\F_BLD_Permit_propane.rpt
10/29/19
• V L AN ST. FORT TQWN A 9$.15,9.eN; 1360)37914450
DEMOLITION PERMIT APPLICATION beti5k 6 ,uit-4-k—
9 ADDRESS:
9y 15 20 E♦ Q U I I ocflc Ro qd
11 1�IROAD NAME
coy ikene.I WA .. ZIP 9337(
9 DIGIT PARCEL ID NUMBER 70 I I -{10 1 b • .
Legal Description:
Subdivision Name Block Lot(s)
Section may, Township North, Range WM
APPLICANT t) t r 14c nne i 1 PHONE w) 206' 36 11'_
MAILING ADDRESS P 0 SOX sq g .
gV000 e 1 wa ..._.__ ZIP S5314 -
PROPERTY OWNER Kr;s ,n Icrennell HONE_ Vv) 204-3W-717/
p
MAILING ADDRESS ?0 Bo' 5"t 8
0 kllcene JJS ZIP Q 237
CONTRACTOR frotif C9nSt'iict ov Co PHONE 360 "44 2.336p
MAILING ADDRESS 112. 3 Sygg, 1,111Q(11 ..
Por 1 hmetcs. `NA itgatia ZIP isi 36 Z ___
STATE LICENSE# PRA 1'r C c a 1 b,J L EXP. DATE 03i Z 5/05
FEDERAL ID.# 9 J* 102.2 5 7i
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 appiicantlawner with respect to this application packet may result in this permit being
null and void.
I further agree to save, indemnify end hold harmless Jefferson County against all liabilities, judgments, court costs, reasonable attori;i,'s
expanses 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 0444stiX DATE ^' ,07 f 24)D 4-
.
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