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Home My WebLink AboutBLD1992-00184 . + J E F F E P S Q N COUNT Y $U I L D I N G APPLICATION' Jefferson County Planning and Building Department Courthouse, 3rd Floor PO Box 1220 Port Townsend, WA 98368 206-385-9141 PERMIT # •BLD92-0184 DATE RECEIVED . : 03/26/92 SITE ADDRESS : BEAVER VALLEY RD :CHIMACUM, WA 98325 OWNER EARL WOODLEY PHONE : 385-1585 MAILING ADDR: 1620 E MARROWSTONE RD :NORDLAND WA 98358 SS #: CONTRACTOR. . :N0 CONTRACTOR PHONE : MAILING ADDR: CONTR. LIC #: EXPIRATION DATE : FED I .D. : ARCHITECT/ . . : PHONE : DESIGNER MAILING ADDR: PARCEL NO. . . : 901142-004 HEALTH : LEGAL DESC . . : STR 14-29-01 WWM, TAX # BY: DATE: LOT , BLOCK , SHORELINES : BY: DATE : DESCRIPTION OF IMPROVEMENT: REMOVE 4 FUEL TANKS BUILDING TYPE -NON BEDROOMS--- BATHROOMS-- MAIN FL . . . : 0 sf TYPE OF IMPROVEMENT:DEM EXIST. : 0 EXIST. : 0 ADD 'L FL. . : 0 sf GARAGE/CARPORT PROP. . : 0 PROP. . : 0 HTED BSMT . : 0 sf WOODSTOVE TOTAL. : 0 TOTAL. : 0 UNHT BSMT. : 0 sf UBC OCCUPANCY GROUP : SEWAGE DISP. . : CARPORT . . . : 0 sf TYPE OF CONST WATER SUPPLY. : GARAGE 0 sf UNITS . : 0 STORIES : O HEAT TYPES . : DECKS 0 sf DIMENSIONS : MOBILE HOME COMMERCIAL : 0 sf FRAME TYPE : MAKE : YR: INDUSTRIAL : 0 sf EST COST. $ : 1000 SIZE: BANK HT. . . : 0 ft PROJ GRP. . : 2747 SH SETBACK: O ft Owner/agent FEES Signature : ____... .-__-- type amount by date recpt PRMT $ 25 . 00 AK 03/26/92 65007 Date: B.C. $ 4 . 50 AK 03/26/92 65007 Issued By: Date: q -7,---- $ 29 . 50 TOTAL • r • JEFFERSON COUNTY BUILDING PERMIT APPLICATION PROPERTY OWNER MAME GS Y. I IA 2 '°1,i:' ``. * PHONE?7..; / s'� t/J' -,MAILING ADDRESS ' I Y'�.° SS# .� t, ZIP CONTRACTOR :_�'k- .<._ y'' MAILING ADDRESS (' .'r'/Y ' PHONE STATE LICENSE NUMBER EXPIRATION DATE FEDERAL I.D. NUMBER ARCHITECT PHONE MAILING ADDRESS LOAN LENDER NAME/BOND HOLDER NAME MAILING ADDRESS PHONE _,.t,k_e14._-_ Cd/(1- SITE LOCATION a)(/ -t JE: ! V: ri-: r�'L 7 PP" 1." ��• c'x' ''1 ZIP CODE LEGAL DESCRIPTION: '/ kJ/CAI/4'1-4'C a`n--^) , v+' SUBDIVISION NAME LOT BLOCK DIVISION TAX NUMBER 9 DIGIT PARCEL NUMBER n, I ' (SECTION TOWNSHIP NORTH RANGE WM BUILDING TYPE IMPROVEMENT TYPE ❑ SINGLE FAMILY ❑ NEW BUILDING ❑ MOBILE ❑ ADDITION 500+1500- ❑ MODULAR ❑ ALTERATION ❑ GARAGE ATTACHED/DETACHED ❑ REPAIR ❑ WOOD STOVE ❑ DEMOLITION ❑ MULTI-FAMILY/UNITS 0 RELOCATION ❑ COMMERCIAL ❑ INDUSTRIAL MOBILE HOME ❑ HOTEL/MOTEL/DORM/UNITS SIZE .7(4 OTHER YEAR MAKE UBC OCCUPANCY GROUP COST • C DESCRIPTION OF IMPROVEMENT: i��m (1�/ PLEASE COMPLETE BOTH SIDES OF APPLICATION i 4 • SQUARE FOOTAGE PRINCIPLE TYPE OF HEATING FUEL MAIN FLOOR ❑ ELECTRICITY ❑ OIL 2ND FLOOR ❑ W00DSTOVE ❑ GAS 3RD FLOOR ❑ HEAT PUMP ❑ OTHER HTD BASEMENT UNHTD BASEMENT CARPORT PRINCIPLE TYPE OF FRAME GARAGE DECKS p WOOD ❑ MASONRY COMMERCIAL p MANUFACTURED ❑ OTHER INDUSTRIAL ❑ STRUCTURAL STEEL TOTAL VALUATION OR ESTIMATED COST TYPE OF SEWAGE DISPOSAL: ❑ SEWER ❑ INDIVIDUAL SEPTIC TYPE OF WATER SUPPLY: ❑ PUBLIC ❑ PRIVATE ❑ COMMUNITY WELL ❑ INDIVIDUAL WELL NUMBER OF EXISTING BEDROOMS NUMBER OF EXISTING BATHROOMS NUMBER OF PROPOSED BEDROOMS NUMBER OF PROPOSED BATHROOMS TOTAL NUMBER OF BEDROOMS TOTAL NUMBER OF BATHROOMS NAME OF ADJACENT BODY OF WATER BANK HEIGHT SETBACK IGNATURE !✓� C �ti� .. y'. �f -� DATE BASE FEE PLAN CHECK RECEIPT # STATE SURCHARGE -/96a TOTAL � CASH/CHECK # h:\HOME\ALICEK\FORMS\APP.FRM . 9 ti • l JEFFERSON COUNTY SUI L,DI NG PEEER.D4TT Jefferson County Planning and Building Department Courthouse, 3rd Floor PO Box 1220 Port Townsend, WA 98368 206-385-9141 PERMIT # -BLD92-0184 DATE ISSUED. : 03/26/92 SITE ADDRESS : BEAVER VALLEY RD :CH1MACUM, WA 98325 OWNER -EARL WOODLEY PHONE: 385-1585 MAILING ADDR: 1620 E MARROWSTONE RD :NORDLAND WA 98358 CONTRACTOR. . :NO CONTRACTOR PHONE : MAILING ADDR: CONTR. LIC #: EXPIRATION DATE : LOAN LENDER. : MAILING ADDR: PARCEL NO. . . : 901142-004 LEGAL DESC. . : STR 14-29-01 WWM, TAX # LOT , BLOCK DESCRIPTION OF IMPROVEMENT: REMOVE 4 FUEL TANKS ( ) Footing/Setbacks ( Shoreline Setback) /Mobile Home Blocking: ( ) Foundation: ( ) Underground Plumbing/Underground Insulation: ( ) Framing/Plumbing/Chimney: ( ) Insulation: ( ) Sheetrock: ( ) Sewage Disposal System Final : pp Final/Occupancy A r ( ) al : CALL 385-9141 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS . Office Hours 9 a.m. to 5 p.m. Inspector ' s Hours 9 - 10 a.m. 24 Hour Recorder for Inspections .