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BLD1994-00334
V JEFFERSON COUNTY MOBILE HOME PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 206-379-4450 PERMIT # •BLD94-0334 DATE ISSUED. : 05/27/94 SITE ADDRESS: 2123 E QUILCENE RD :QUILCENE, WA 98376 APPLICANT. . . :DAVE NEWMAN PHONE: 765-3290 MAILING ADDR:PO BOX 171 :QUILCENE WA 98376 PROPERTY OWNER: PHONE: MAILING ADDR. . : CONTRACTOR. . : PHONE: MAILING ADDR: • CONTR. LIC #: EXPIRATION DATE: / / PARCEL NO. . . : 701194004 LEGAL DESC. . : STR 19-27-01 WWM, TAX # 7 LOT , BLOCK DESCRIPTION OF IMPROVEMENT: Mobile Home Installation THIS PERMIT IS VALID FOR ONE YEAR ONLY AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 05/27/95 ( ) Going/SetbackT(If continuous footings are used) ( ) Blocking/Setbacks/Plumbig: ('3-9<< !2.& à `,,,5A ( ) Sewage Disposal System Final: ( ) Final/Skirtin• Vents Porches Ste•s• , ,�r,I' GA�ip-amm71•'r�� CALL 379-4455 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9 a.m. to 4 : 30 p.m. Inspector's Hours 8 - 10 a.m. 24 Hour Recorder for Inspections 411 110 JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 206-379-4450 PERMIT # •BLD94-0334 DATE RECEIVED. : 05/25/94 SITE ADDRESS:2123 E QUILCENE RD :QUILCENE, WA 98376 OWNER *DAVE NEWMAN PHONE:765-3290 MAILING ADDR:PO BOX 171 :QUILCENE WA 98376 CONTRACTOR. . : PHONE: MAILING ADDR: • CONTR. LIC #: EXPIRATION DATE: / / ARCHITECT/ . . : PHONE: DESIGNER MAILING ADDR: PARCEL NO. . . : 701194004 ALT: CON NA'f _ LEGAL DESC. . : STR 19-27-01 WWM, TAX # 7 WATER ` DATE: LOT , BLOCK , SHORELINES: BY: DATE: DESCRIPTION OF IMPROVEMENT: Mobile Home Installation BUILDING TYPE •MOB BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf GARAGE/CARPORT PROP. . : 3 PROP. . : 2 HTED BSMT. : 0 sf WOODSTOVE • TOTAL. : 3 TOTAL. : 2 UNHT BSMT. : 0 sf UBC OCCUPANCY GROUP:R3 SEWAGE DISP. . : CARPORT. . . : 0 sf TYPE OF CONST WATER SUPPLY. :PWELL GARAGE • 0 sf UNITS. : 1 STORIES: 0 HEAT TYPES. : DECKS • 0 sf DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE: MAKE:GOLDEN WEST YR: 94 INDUSTRIAL: 0 sf EST COST. $: 63000 SIZE: 56 X 40 BANK HT. . . : 0 ft PROJ GRP. . : 4406 SH SETBACK: 0 ft Owner/agent FEES Signature: type amount by date recpt PRMT $ 75. 00 MTM 05/25/94 92416 Date: B.C. $ 4. 50 MTM 05/25/94 92416 Issued By: 114111 Date: / $ 79. 50 TOTAL ti 4)6 • • **JEFFERSON COUNTY MOBILE HOME INSTALLATION PERMIT APPLICATION BUILDING TYPE IMPROVEMENT TYPE UBC OCCUPANCY AM MOBILE 0 NEW BUILDING GROUP SIZE 56 X L © YEAR I c(q hf MAKE t70I0c`14 WEST COST C3, 000 DESCRIPTION OF IMPROVEMENT: TYPE OF SEWAGE DISPOSAL: fit INSTALLED 19 c1 5 0 SEWER It INDIVIDUAL SEPTIC 0 NOT INSTALLED TYPE OF WATER SUPPLY: PRIVATE 41 DRILLED-WELL OTHER PUBLIC ❑ CITY OTHER: NAME ❑ PUD STATE I.D. NUMBER OF EXISTING BEDROOMS -3 NUMBER OF EXISTING BATHROOMS NUMBER OF PROPOSED BEDROOMS NUMBER OF PROPOSED BATHROOMS TOTAL NUMBER OF BEDROOMS 3 TOTAL NUMBER OF BATHROOMS IF WATERFRONT PROPERTY NAME OF ADJACENT BODY OF WATER BANK HEIGHT SETBACK SIGNATURECl -11„/- 10Q a - 1LiQ,WVV j(A - DATE APPLICANT NAME (PLEASE PRINT) 1).1) / I,) A N E JMAO FOR OFFICE USE ONLY PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT BASE FEE -2f_ (;/ PLAN CHECK RECEIPT # 241 -4/ 6 �j STATE SURCHARGE Lvd i� TOTAL ig c__ . ,--71 CASH/CHECK # 3 j a h:\HOME\PLNCNT 6R OBILE.APP i A may . 4e P `) Q 4Oe i Jl j 40 HQ U ! v O �- iCZf C:TPONIdre of l2t'^ 3 I II 4 v tY g �V v N Qf _. N i' x 4-' 00L-- r W w !u • N CD O O a) O p c o CC 4- a) co N 0. 0 o •5 ca U +• o w o 'y CO y U N O. 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