HomeMy WebLinkAboutBLD1993-00186 ,TEF'FERSON COUNTY BUILDING APPLICATION
Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend, WA 98368
206-385-9141
PERMIT # •BLD93-0186 DATE RECEIVED. :04/02/93
SITE ADDRESS: 531 SHINE RD
:PORT LUDLOW, WA 98365
OWNER -LEROY PETTERSEN PHONE : 437-2645
MAILING ADDR: 531 SHINE ROAD
:PORT LUDLOW WA 98365
CONTRACTOR. . :NO CONTRACTOR PHONE:
MAILING ADDR:
CONTR. LIC #: EXPIRATION DATE:
ARCHITECT/ . . : PHONE:
DESIGNER
MAILING ADDR:
PARCEL NO. . . : 821334-071 SEPTIC : DATE:
LEGAL DESC . . :STR 33-28-01 EWM, TAX # WATER : DATE:
LOT , BLOCK SHORELINES :
BY: DATE:
DESCRIPTION OF IMPROVEMENT: STAIRS TO BEACH
BUILDING TYPE -NON 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. . : 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. . : 3715 SH SETBACK: O ft
Owner/agent FEES
Signature: t : i� • type amount by date recpt
PRMT $ 25 .00 AK 04/02/93 77095
Date : �_� B .C . $/ 4 . 50 AK 04/02/93 77095
• 111gi i� --��
Issued By:
tee• 7 ou'y Ann ng
Date: & Bulidlnn
$ 29 . 50 TOTAL
• . ,
•
***JEFFERSON COUNTY INSTALLATION PERMIT APPLICATION
APPLICANT NAME L e "0 U C�� Q S P U J PHONE
MAILING ADDRESS - l "\ I e
�d` V L LA 1 U-) ZIP 1 LC) c.
PROPERTY OWNER NAME l�(}C � S t-1 PHONE (4 1 4 a`
MAILING ADDRESS_ 1.. Io L (`� 11 \),
,Y0 kn,4 L l.l (}- `^� ZIP
CONTRACTOR 6 �./ ti V'
MAILING ADDRESS PHONE
STATE LICENSE NUMBER EXPIRATION DATE
FEDERAL I.D. NUMBER
SITE ADDRESS: ? Q \`\ \ P t (0 S
911!//ROAD NAME L a "
- ZIP CODE d� 'pl �
LEGAL DESCRIPTION:
SUBDIVISION NAME �j cz 33 /LOT z�BLOCK DIVISION
Z�
TAX NUMBER 9 DIGIT PARCEL NUMBER 33.407 I
SECTION 33 TOWNSHIP ,QO NORTH - RANGE /IF WM
DESCRIPTION OF IMPROVEMENT:
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, /
SIGNATURE
u .. ._..^r`-----"DATE B V� I l t
..................................+:r►Yr+eee►r+►►r...*,t+.a*+*a*.r.,txr..xrr.s.. r.we+ee+:+r:rt+:s.x*e+•
FOR OFFICE USE ONLY
Planning Area Fire District School District
BUILDING TYPE IMPROVEMENT TYPE UBC OCCUPANCY
❑ NON ❑ WOO ❑ NEW GROUP
FRAME TYPE
❑ WOOD ❑ MANUFACTURED ❑ STEEL ❑ MASONRY OTHER
BASE FEE
PLAN CHECK RECEIPT # ()9:5
STATE SURCHARGE
TOTAL(/ 1 I CASH/CHECK #
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1
JEFFERSON COTJNTY Bt3I LDI NG PERMIT
Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend, WA 98368
206-385-9141
PERMIT # •BLD93-0186 DATE ISSUED. : 04/05/93
SITE ADDRESS : 531 SHINE RD
:PORT LUDLOW, WA 98365
OWNER •LEROY PETTERSEN PHONE: 437-2645
MAILING ADDR: 531 SHINE ROAD
:PORT LUDLOW WA 98365
CONTRACTOR. . :NO CONTRACTOR PHONE:
MAILING ADDR:
CONTR. LIC #: EXPIRATION DATE:
LOAN LENDER. :
MAILING ADDR:
•
PARCEL NO . . . : 821334-071
LEGAL DESC. . : STR 33-28-01 EWM, TAX #
LOT , BLOCK
DESCRIPTION OF IMPROVEMENT: STAIRS TO BEACH
( ) Footing/Setbacks (Shoreline Setback) :
( ) Foundation:
( ) Underground Plumbing/Underground Insulation:
( ) Framing/Plumbing/Chimney:
( ) Insulation:
( ) Sheetrock:
( ) Sewage Disposal System Final :
( ) Final/Occupancy Approval :
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 .