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BLD1995-00232
JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD95-0232 DATE RECEIVED. : 05/02/95 SITE ADDRESS: t0 EAGLE VIEW RD :PORT LUDLOW, WA 98365 APPLICANT. . . :ROTHERT/GALBREATH PHONE: 508-830-1033 MAILING ADDR: 12 OVERLOOK RD :PLYMOUTH MA 02360 CONTRACTOR. . :SUNSET WEST PHONE: 360-638-1616 MAILING ADDR:PO BOX 346 :HANSVILLE WA 98340 CONTR. LIC #: SUNSEW*173K5 EXPIRATION DATE: 05/25/95 ARCHITECT/ . . :M L MOCAN DESIGN PHONE: 360-692-1272 DESIGNER •PO BOX 719 MAILING ADDR: _ : SILVERDALE WA 98383 S -"33 032 C -- PARCEL NO. . . :721093019 ALT: CON : I LEGAL DESC. . :STR 09-27-01 EWM, TAX # BY: DATE: Y/;37 LOT 1, BLOCK , OLYMPIC HIGHLAND WATER: > ( DATE: CAR : DATE: � DESCRIPTION OF IMPROVEMENT: Single family residence BUILDING TYPE •RES BEDROOMS-7- BATHROOMS-- MAIN FL. . . : 1659 sf TYPE OF IMPROVEMENT:NEW EXIST. : 1;"!,_ EXIST. : 0 ADD'L FL. . : 684 sf GARAGE/CARPORT •A PROP. . : 2 PROP. . : 2 HTED BSMT. : 980 sf WOODSTOVE TOTAL. : 2 TOTAL. : 2 UNHT BSMT. : 0 sf UBC OCCUPANCY GROUP: SEWAGE DISP. . : SEPTIC OTHER • 0 f TYPE OF CONST WATER SUPPLY. :BRIDGEHVN CRPT/GAR. . : -TfrB'"sf UNITS. : 0 STORIES:2 HEAT TYPES. :HTP/ / DECKS • 628 sf DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE:WOOD MAKE: YR: INDUSTRIAL: 0 sf EST COST. $: 17n►1'2c( SIZE: BANK HT. . . : 0 ft PROJ GRP. . : 4568 SH SETBACK: 0 ft Owner/agent FEES Signature: type amount by date recpt PRMT $ W® 50 MM 05/02/95 106439 Date: PLCK $ 2'?.85 MM 05/02/95 106439 B.C. $ 4 .50 MM 05/02/95 106439 Issued By: r, y� Date: etterstm Couvei 8, 9,,,,;(lizw $ 1®Oga.85 TOTAL