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HomeMy WebLinkAboutBLD1993-00173 • .JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Planning and Building Department Courthouse, 3rd Floor PO Box 1220 Port Townsend, WA 98368 206-385-9141 PERMIT # •BLD93-0173 DATE RECEIVED. : 03/30/93 SITE ADDRESS : - h{t9h � 1o1 :QUILCENE, WA 98376 OWNER -STEVE SLAVEN PHONE : 765-4826 MAILING ADDR:PO BOX 331 :QUILCENE WA 98376 CONTRACTOR. . : EVERGREEN MODULAR HOMES PHONE : 582-3423 MAILING ADDR: 10720 26TH AVE S :TACOMA WA 98444 CONTR. LIC #: EVERGMH243C7 EXPIRATION DATE : 09/30/93 ARCHITECT/ . . : PHONE : DESIGNER MAILING ADDR: III PARCEL NO. . . : 702224-019 SEPTIC : DATE : LEGAL DESC . . : STR 22-27-02 WWM, TAX # WATER : �DATE: ^� LOT 2 , BLOCK , JEFFCO SHORT PLAT SHORELINES : BY: DATE: DESCRIPTION OF IMPROVEMENT : modular home __-- I BUILDING TYPE -MOD BEDROOMS--- BATHROOMS-- MAIN FL . . . : 1264 sf TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD 'L FL. . : 0 sf GARAGE/CARPORT PROP. . : 2 PROP. . : 2 HTED BSMT . : 0 sf WOODSTOVE TOTAL. : 2 TOTAL. : 2 UNHT BSMT. : 0 sf UBC OCCUPANCY GROUP :R3 SEWAGE DISP. . : SEPTIC CARPORT . . . : 0 sf TYPE OF CONST WATER SUPPLY. :PWELL 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. $ : 12640 SIZE: BANK HT . . . : 0 ft PROJ GRP . . : 3707 SH SETBACK: O ft Owner/agent FEES Signature: type amount by date recpt PRMT $ 144 . 00 AK 03/30/93 77069 Date: .�� �, PLCK $ 43 . 20 AK 03/30/93 77069 B.C . $ 4 . 50 AK 03/30/93 77069 Issued By: RADO $ 10 . 00 AK 03/30/93 77069 iI% , Date : $ 201 . 70 TOTAL S1..ti1 T© 14,4), 3 /.30/93 • JEFFERSON COUNTY BtJI LD2 NG 1,,ERM2 T Jefferson County Planning and Building Department Courthouse, 3rd Floor PO Box 1220 Port Townsend, WA 98368 206-385-9141 PERMIT # •BLD93-0173 DATE ISSUED. : 04/19/93 SITE ADDRESS: 22105 HIGHWAY 101 RD :QUILCENE, WA 98376 OWNER •STEVE SLAVEN PHONE: 765-4826 MAILING ADDR:PO BOX 331 :QUILCENE WA 98376 CONTRACTOR. . :EVERGREEN MODULAR HOMES PHONE: 582-3423 MAILING ADDR: 10720 26TH AVE S :TACOMA WA 98444 CONTR. LIC #:EVERGMH243C7 EXPIRATION DATE: 09/30/93 LOAN LENDER. :WASHINGTON MUTUAL MAILING ADDR:9537 GRAVELLY LK DR SW :TACOMA WA 98499 PARCEL NO . . . : 702224-019 LEGAL DESC. . :STR 22-27-02 WWM, TAX # LOT 2 , BLOCK , JEFFCO SHORT PLAT DESCRIPTION OF IMPROVEMENT: modular home ( ) Footing/Setbacks (Shor-l:a/'Setback) :__ ( ) Foundation: l ( ) Underground Plumbing/Underlround Insulation:_ ( ) Framing/Plumbing/Chimney: ( ) Insulation: ( ) Sheetrock: ( ) Sewage Disposal System Final : ( ) Final/Occupancy Approval : F/ 41a 1- 7/ 7 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 . . • • 'TPA : t . Cod JEFFERSON COUNTY BUILDING PERMIT APPLICATION PROPERTY OWNER BAKE e.,Vla. qJ AV��A\--1 PHONE 7405' Li cl c MAILING ADDRESS ...Pt ô. Be' . S ! SS# • c:� 11.\\ct 2tz.1 ZIP qga r?(p ' • CONTRACTOR E.`(@. 1 .) : q\O(4U.`QZ. V�C\P.S MAILING ADDRESS ,4 ! 2.0 ?L ' PUS. S • PHONE € 2- 342,3 STATE LICENSE NUMBERveR,Gc(1,0,24 3C 1 EXPIRATION DATE 9/30('7a FEDERAL I.D. NUMBER 9/ - O Q I [ w" , ARCHITECT SAME', c C.0:::› ��04..0-1 � PHONE MAILING ADDRESS LOAN LENDER NAME/BOND HOLDER NAME 1.00....,, 1,2\ � ` tO.<).. 1 ADDRESS (345‘..5 h etR-0* ^.`"�R, �W• PHONE E Q�` �q�1 MAILING / '� .Q C(YL� W O R2.14c3Q / /� Q (1� 1 I Qc?n IT LOCATION �(A�� �10 ( "1 `5� ��`�� ` �CF' Q� ` e ZIP CODE 1 a3 / (. 4,� ��••f�- , ' SG V ( 622 --'art bl R2v.. SUB' S O 1S-;P 10 I p q I LOT BLOCK- __--- DIVISION SUBS VISIONI--N�AME '�� K7t Q'C"\ 1 n` TAX NUMBER (02. 22 / O! r 9 DIGIT PARCEL NUMBER 102— az'— 0( q SECTION 2Z TOWNSHIP 29 NORTH RANGE 2. WM zaaaaa aia azaazaisasiaaiaszaasaaizaszaa ssssazaazassssssassaasssasassasaasaaaazsa BUILDING TYPE IIMPROVEMENT TYPE ❑ SINGLE FAMILY NEW BUILDING ❑ MOBILE .. ❑ ADDITION 500+1500- �‹ MODULAR ❑ ALTERATION ❑ GARAGE ATTACHED/DETACHED ❑ REPAIR ❑ WOOOSTOVE ❑ DEMOLITION ❑ MULTI-FAMILY/UNITS CI RELOCATION ❑ COMMERCIAL ° ❑ INDUSTRIAL MOBILE HOME ❑ HOTEL/MOTEL/DORM/UNITS SIZE ❑ OTHER YEAR MAKE UBC OCCUPANCY GROUP'3 COST, DESCRIPTION OF IMPROVEMENT: 1264 Q. 2 L7eC:5�1KL7. , 2 86,`°t nO4_u"'"��"__V_4e ii.i ..3.2_3__3 iiiiWAaai=iftaa==aiia=7i====ai�aaaa'i=aa==aft=aia=a====tea=i=7.=i PLEASE COMPLETE BOTH SIDES OF APPLICATION A./ L 1,c= 5U ( (Pu� (C...2A/6-�,v Bo r'�'1 Y . 713aNk\ Prue 6 o �a k — - __ ! / 8. (-I '-- 75 I .egiiiit , Ni i i Si Oit431 In 1? . e/ nl, , 1432/ ' ion _ 'Reie.RVe_. 25 i 81, '?"4 (_9� S�E.ve, slaver/EiqsErYieft./7 . iqece� Si = NLOY (0( q 4\ g►i-L4R Q u..I' /Ce iVe.., , ,t)C;\ 9 ., — ,/# 702 - 22q- 019