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BLD1993-00829
• • JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 206-379-4450 PERMIT # •BLD93-0829 DATE RECEIVED. : 11/17/93 SITE ADDRESS: 3440 FLAGLER RD :NORDLAND, WA 98358 OWNER •ELIZABETH GRAHAM PHONE: 37' '/" MAILING ADDR: 3740 FLAGLER :NORDLAND WA 98358 CONTRACTOR. . :R V RICHARDSON PHONE: 683-6216 MAILING ADDR:PO BOX 2498 : SEQUIM WA 98382 CONTR. LIC #:RVRICC*088KH EXPIRAT ATE: 06/01/94 ARCHITECT/ . . : PHONE: DESIGNER • MAILING ADDR: PARCEL NO. . . : 921043020 SEPTIC: DATE: LEGAL DESC. . :STR 04-29-01 EWM, TAX # WATER : DATE: LOT , BLOCK , SHORELINES: BY: DATE: DESCRIPTION OF IMPROVEMENT: GARAGE 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: 0 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. . : 4893 SH SETBACK: 0 ft Owner/agent FEES Signature: type amount by date recpt PRMT $ 162 . 00 AK 11/17/93 86403 Date: PLCK $ 48 . 60 AK 11/17/93 86403 B.C. $ 4 . 50 AK 11/17/93 86403 Issued By: Date: $ 215. 10 TOTAL 110