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BLD1992-00759
, TEF'I'ERE3ON COUNTY PLJ2 LDI NG 2 CAT = ON Jefferson County Planning and. Building Department Courthouse, 3rd Floor PO Box 1220 Port Townsend, WA 98368 206-385-9141 PERMIT #. . . . • LD92-0759 DATE RECEIVED. : 11/25/92 SITE ADDRESS : OLD GARDINER HWY :PORT TOWNSEND, WA 98368 OWNER •RAMON BRODERS PHONE : 385-3840 MAILING ADDR: 5571 OLD GARDINER ROAD :PORT TOWNSEND WA 98368 SS #: CONTRACTOR. . :NO CONTRACTOR PHONE: MAILING ADDR: CONTR. LIC #: EXPIRATION DATE: FED I .D. : ARCHITECT/ . . : PHONE: DESIGNER MAILING ADDR: tic,-4.t,, 61 7777 . 21212C,1).6 -7/1-‘.____ PARCEL NO. . . : 964500-303 HEALTH: LEGAL DESC. . : STR 18-29-01 WWM, TAX # BY: DATE: LOT 1-5, BLOCK 3 , JUNCTION CITY LOTS SHORELINES : ________ BY: __ ___ DATE: DESCRIPTION OF IMPROVEMENT : mobile home installation BUILDING TYPE -MOB BEDROOMS--- BATHROOMS-- MAIN FL . . . : 0 sf TYPE OF IMPROVEMENT:NEW EXIST. : 3 EXIST. : 2 ADD ' L FL. . : 0 sf GARAGE/CARPORT PROP . . : 0 PROP. . : 0 HTED BSMT. : 0 sf WOODSTOVE • TOTAL. : 3 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 . : 1 STORIES : 1 HEAT TYPES . : DECKS • 0 sf DIMENSIONS : MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE : MAKE :GUERDON YR:92 INDUSTRIAL : 0 sf EST COST. $ : 35900 SIZE : 52X28 BANK NT. . . : 55 ft PROJ GRP. . : 3448 SH SETBACK: 57 ft Owner/agent 0VED FEES Signature : ' _� _. type amount by date recpt PRMT $ 75 . 00 MM 11/25/92 71885 Date: 4'_ ____ B . C . $ 4 . 50 MM 11/25/92 71885 Issued By: 4{y�( (1 a , 1- .1� ( IR... . Date : & BUII{.no Uni:2CZStiF.nt $ 79 . 50 TOTAL )-k (' /Ls