HomeMy WebLinkAboutBLD1993-00274 • 4 4
JEFFERSON COUNT Y B U I L D I N G AP P L I C A T I O N
Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend, WA 98368
206-385-9141
PERMIT # •BLD93-0274 DATE RECEIVED. : 05/03/93
SITE ADDRESS : 22105 HIGHWAY 101 RD
:QUILCENE, WA 98376
OWNER •STEVE SLAVEN PHONE: 765-4826
MAILING ADDR:PO BOX 331
: QUILCENE A 98376
CONTRACTOR. . :Ef RGRYsN MOI •LAR HOMES #410 PHONE: 582-3423
MAILING ADDR: 107 • f .I H A 'E S 22.1 p
:T.C O //. 9:44A ( ���� O ` 70 13
CONTR. LIC #:: .r. ' -IRATION DATY. " ' " "
ARCHITECT/ . . : PHONE :
DESIGNER
MAILING ADDR:
PARCEL NO. . . : 702224-019 SEPTIC : ✓ DATE : S
LEGAL DESC . . : STR 22-27-02 WWM, TAX # WATER : DATE:
LOT 2 , BLOCK , JEFFCO SHORT PLAT SHORELINES :
BY: DATE :
DESCRIPTION OF IMPROVEMENT: garage/shop
BUILDING TYPE •GAR BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf
TYPE OF IMPROVEMENT:NEW 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. . : SEPTIC CARPORT . . . : 0 sf
TYPE OF CONST WATER SUPPLY. :PWELL GARAGE 1440 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. $ : 14400 SIZE : BANK HT. . . : 0 ft
PROJ GRP. . : 3707 SH SETBACK: O ft
Owner/agent + . FEES
Signature:
A _` ` type amount by date recpt
.I I PRMT $ 162 .00 MTM 05/03/93 78968
Date: ..r, PLCK $ 48 . 60 MTM 05/03/93 78968
VW0 VI 1C jimra\ B.C . $ 4 . 50 MTM 05/03/93 78968
Issued By: AggptIc .
Date: 3efite °�
$ 215 . 10 TOTAL
5/3
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• .TEFFERSON G-0LTN'T BU= LDING PERM= T
Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend, WA 98368
206-385-9141
PERMIT # •BLD93-0274 DATE ISSUED. : 05/10/93
SITE ADDRESS: 22105 HIGHWAY 101
:QUILCENE, WA 98376
OWNER - STEVE SLAVEN PHONE : 765-4826
MAILING ADDR:PO BOX 331
:QUILCENE WA 98376
CONTRACTOR. . :M & W SUPPLY PHONE : 1800-547-1714
MAILING ADDR:PO BOX 220
:CANBY OR 97013
CONTR. LIC #: EXPIRATION DATE : / /
LOAN LENDER. :
MAILING ADDR:
PARCEL N0. . . : 702224-019
LEGAL DESC . . : STR 22-27-02 WWM, TAX #
LOT 2 , BLOCK , JEFFCO SHORT PLAT
DESCRIPTION OF IMPROVEMENT: garage/shop Alf- � / �/� 4 --Z
( ) Footing/Setbacks (Shoreline Setback) :
( ) Foundation:
( ) Underground Plumbing/Underground Insulation:
( ) Framing/Plumbing/Chimney:
( ) Insulation:
( ) Sheetrock:
) Sewage Disposal System Final :
( ) Final/Occupancy Approval :
�z- - .
1 _
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.
, • ARIPM.111
• • ■
*JEFFERSON COUNTY BUILDING PERMIT APPLICATION
BUILDING TYPE IMPROVEMENT TYPE
❑ SINGLE FAMILY -I� NEW BUILDING
❑ MOBILE ❑ ADDITION 500+1500-
y MODULAR ❑ ALTERATION
GARAGE ATTACHED/DETACHED El REPAIR
O WOODSTOVE ❑ DEMOLITION
❑ MULTI-FAMILY/UNITS ❑ RELOCATION
❑ COMMERCIAL
❑ INDUSTRIAL
❑ HOTEL/MOTEL/DORM/UNITS
❑ OTHER U C OC UPANCY GROUP
/y
DESCRIPTION OF IMPROVEMENT: ` / / /
41
SQUARE FOOTAGE PRINCIPLE TYPE OF HEATING FUEL
MAIN FLOOR Cl ELECTRICITY ❑ OIL
2ND FLOOR ❑ WOODSTOVE ❑ GAS
3RD FLOOR ❑ HEAT PUMP ❑ OTHER
HTD BASEMENT
UNHTD BASEMENT
CARPORT PRINCIPLE TYPE OF FRAME
GARAGE
DECKS ❑ WOOD El MASONRY
COMMERCIAL , El MANUFACTURED El OTHER
DUS IAL ❑ STRUCTURAL STEEL
OTHE ,40 ° (L. 547 4;7,30
TOTAL VALUATION Q `--�
/��DO OR ESTIMATED COST
❑ INSTALLED 19_
TYPE OF
SEWAGE DISPOSAL: ❑ SEWER SEPTIC SYSTEM
❑ NOT INSTALLED
TYPE OF WATER SUPPLY: PRIVATE RILLED WELL OTHER
PUBLIC ❑ CITY OTHER: NAME
❑ PUD STATE I.D.
NU : R OF EXISTI : PROOMS NUMBER OF E;e:a,NG BATHROOMS
NUMB • OF PROP,SED BEDRis S NUMBER OF 'ROPOSE' :ATHROO
TOTAL ' MBE: OF BEDROOMS ' ; ' MBER OF BATHR.S'S
IF WATERFRONT PROPERTY NAME OF ADJACENT BODY OF WATER
BANK HEIGHT SETBACK
s �,; / ,� a
SIGNATURE DATE ��� � . l
APPLIC NAME (PLEASE PRINT) STEVE J L
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