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HomeMy WebLinkAboutBLD1994-00859 THIS BUILDING IS NOT FINALED . PERMIT WAS CANCELLED PRIOR TO RECEIVING ALL INSPECTIONS AND HAS NOT BEEN ISSUED A CERTIFICATE OF OCCUPANCY. Y • ♦. J JEFFERSON COUNTY MOBILE HOME PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 206-379-4450 PERMIT # •BLD94-0859 DATE ISSUED. : 01/09/95 SITE ADDRESS: 422 9TH AVE :PORT HADLOCK, WA 98339 APPLICANT. . . :DENNIS ROBBINS PHONE: 360-379-0728 MAILING ADDR: 422 9TH AVE :PORT HADLOCK WA 98339 PROPERTY OWNER: PHONE: MAILING ADDR. . : • CONTRACTOR. . : PHONE: MAILING ADDR: CONTR. LIC #: EXPIRATION DATE: / / PARCEL NO. . . : 961806817 LEGAL DESC. . : STR 34-30-01 WWM, TAX # LOT 21-24, BLOCK 68, IRONDALE DESCRIPTION OF IMPROVEMENT: Mobile Home THIS PERMIT IS VALID FOR ONE YEAR ONLY AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 01/09/96 ( ) Footing/Setbacks (If continuous footings are used) : ( ) Blocking/Setbacks/Plumbing: ( ) Final/Skirting/Vents/Porches/Step 1111" ffl-.:- Adliggiiirr .Pe CALL 379-4455 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9 a.m. to 4 : 30 p.m. Inspector's Hours 8 - 10 a.m. 24 Hour Recorder for Inspections . I t i a JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 206-379-4450 PERMIT # •BLD94-0859 DATE RECEIVED. : 12/21/94 SITE ADDRESS:422 9TH AVE :PORT HADLOCK, WA 98339 OWNER 'DENNIS ROBBINS PHONE: 360-379-0728 MAILING ADDR:422 9TH AVE :PORT HADLOCK WA 98339 CONTRACTOR. . : PHONE: MAILING ADDR: CONTR. LIC #: EXPIRATION DATE: / / ARCHITECT/ . . : ' ' LL P. PHONE: 3 61 DESIGNER •P• * MAILING ADDR: :PO' A' -sCK W. 98339 PARCEL NO. . . : 961806817 ALT: CON : LEGAL DESC. . : STR 34-30-01 WWM, TAX # 211 BY: AtLi DATE: i L z+-/fq LOT 21-24, BLOCK 68, IRONDALE AF WATER: e51DATE:CAR : au, DATE: f + /7y DESCRIPTION OF IMPROVEMENT: Mobile Home Installation r'v- BUILDING TYPE *MOB BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf GARAGE/CARPORT • PROP. . : 3 PROP. . : 1 HTED BSMT. : 0 sf WOODSTOVE • TOTAL. : 3 TOTAL. : 1 UNHT BSMT. : 0 sf UBC OCCUPANCY GROUP: SEWAGE DISP. . :SEPTIC OTHER • 0 sf TYPE OF CONST • WATER SUPPLY. :CITY CRPT/GAR. . : 0 sf UNITS. : 0 STORIES: 0 HEAT TYPES. : DECKS • 0 sf DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE: MAKE:FLEETWOOD YR:79 INDUSTRIAL: 0 sf EST COST. $: 0 SIZE: 12 X 50 BANK HT. . . : 0 ft PROJ GRP. . : 5921 SH SETBACK: 0 ft Owner/agent V FEES Signature: type amount by date recpt r PRMT $ 125. 00 MM 12/21/94 103225 Date: 9 \1 B.C. $ 4 .50 MM 12/21/94 103225 Issued By , f{©rsan County i'Sannin9 C Oaf Date: $ 129 . 50 TOTAL **JEFFERSON COUNTY MOBILE HOME INSTALLATION PERMIT APPLICATION BUILDING PE IMPROVEMENT TYPE UBC OCCUPANCY MOBILE �J NEW BUILDING GROUP SIZE i. YEAR fl___,,* AMP '44101151127.1017171# MAKE COST 'i TA0_°I 4 DESCRIPTION OF IMPROVEMENT: TYPE OF SEWAGE DISPOSAL: ❑ INSTALLED 19_ ❑ SEWER INDIVIDUAL SEPTIC ❑ NOT INSTALLED TYPE OF WATER SUPPLY: PRIVATE ❑ DRILLED WELL OTHER PUBLIC CITY OTHER: NAME ❑ PUD STATE I.D. NUMBER OF EXISTING BEDROOMS \...--../'/'' NUMBER OF EXISTING BATHROOMS NUMBER OF PROPOSED BEDROOMS '?; NUMBER OF PROPOSED BATHROOMS TOTAL NUMBER OF BEDROOMS 3 TOTAL NUMBER OF BATHROOMS ( IF WATERFRONT PROPERTY NAME OF ADJACENT BODY OF WATER / 1V BANK HEIGHT SETBACK SIGNATURE iIN r,4,4 AA, i IPA r ■ �� 'A 4L .A DATE tj ^ C _ 1 APPLICANT NAME (PLEASE PRINT) .r__ /A �, j'�/�/ *********************************"*******"** ******** :*:7**:********-************************** FOR OFFICE USE ONLY PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT Q4► BASE FEE PLAN CHECK RECEIPT # 1 C1 3 a J STATE SURCHARGE (1'0,6-6 DATE I Z(Z"( (94( TOT / ?Si, S'6 a/CHECK # a h:\HOME\PLNCNTR\FORMS\MOBILE.APP 1 m N ❑ ❑ ❑ oo 0 00000 0 00000 0a — ' d ID no n D � W _. 0coco V Q) U1 WN -• D a o m ' o o y D n n o W o o 6 y v �Z m to o x cD N y m ° o m a D 0 v a °:, Cr) o O ? d •+ y• 0 m m •' ° 3 3 m 0 s , � ^ o ' 0- O y p °: � D °' .-s• y 6 m C°5. 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