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BLD1994-00361
JEFFERSON COUNTY BUILDING PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 206-379-4450 PERMIT # •BLD94-0361 DATE ISSUED. : 06/07/94 SITE ADDRESS: 81 BRIDLE WAY :PORT TOWNSEND, WA 98368 OWNER 'WESLEY WILEY PHONE: 379-0833 MAILING ADDR: 2206 45TH AVE :SAN FRANCISCO CA 94116 CONTRACTOR. . : SUNSHINE PROPANE PHONE: 385-5797 MAILING ADDR: 304 10TH ST :PORT TOWNSEND WA 98368 CONTR. LIC #:SUNSHP*077QP EXPIRATION DATE: 11/17/94 LOAN LENDER. : MAILING ADDR: • PARCEL NO. . . : 941100012 LEGAL DESC. . :STR 18-30-01 WWM, TAX # LOT 12 , BLOCK , CAPE GEO VILL DIV5 DESCRIPTION OF IMPROVEMENT: 500 sq ft radiant floor installation ( ) Footing/Setbacks (Shoreline Setback) : ( ) Foundation: ( ) Undergriound Plumbing/tnderground I ul tion: ( ) Fram ng7 umbing/Chimney: ( ) Insulation: ( ) Sheetrock: ( ) Sewage Disposal System Final:, ( Final/Occupancy Approval: , (7 - 7- j7 /3„0:.1.1. C� k 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 JEFFERSON COUNTY UNIVERSAL PLOT PLAN AND DEVELOPMENT APPLICATION (This is not a permit) Fill in the following information as completely as possible PROPERTY OWNER NAME VieSle/ ll ley PHONE 379 — ©833 MAILING ADDRESS 2206p 415-14L4 Av}Q,, / p CITY/STATE_SQ4( ;1/`G!t(�GSt1 r'7 rig-g- ZIP C/501 l/ P //rr ( APPLICANT NAM�FO, (if different) PHONE(4(51 (di (—Sl /L or AUTHORIZED REP (circle one) MAILING ADDRESS SEPTIC DESIGNER /4 PHONE MAILING ADDRESS GENERAL CONTRACTOR SC1 I,i 5t 1 Pit e MAILING ADDRESS 30y Oy:t, 5�. . _.. '� PHONE JQS -S 7�f 7 STATE LICENSE NUMBER c P r a 0-?)(k 1 EXPIRATION DATE 1 11 glf ARCHITECT ('D6,91.4,ei." PHONE MAILING ADDRESS LOAN LENDER NAME/BOND HOLDER NAME A SSQC;caeS dit41,S144LI l`/t` 6ye J (1 n// MAILING ADDRESS Pt t Be <, 60S-OOD I PHONE I1a((aS , -7-i1«.5 7S 2C,C --000 ( SITE ADDRESS: s( Q // ' f^ 911//ROAD NAME /L e IAL/L2/ C`A'F" l oGtiu esi II J ZIP CODE �$, p LEGAL SUBDIVISIONINAMON: , /J q/t ��-rr�P Pt't it(G�t� Z S LOT � BLOCK DIVISION TAX NUMBER 9 DIGIT PARCEL NUMBER ( T/ /00 0/2— SECTION /2- SECTION TOWNSHIP NORTH RANGE WM DESCRIPTION OF IMPROVEMENT: OO 4 int Jia4,_4- a,,,,,,, j t l(a avi PLEASE FILL OUT ALL OF APPLICATION **** Dear Property Owner: Please fill this form out as completely as possible. The legal description and 9 digit parcel number may be obtained from your tax statement or from the Assessor's Office in the Jefferson , County Courthouse. Please make yourself at least one copy of this form so that you may use it for future development of your property. **** ' Mailing address: Jefferson County Permit Center, 621 Sheridan, Port Townsend, WA 98368 III I ' JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 206-379-4450 PERMIT # •BLD94-0361 DATE RECEIVED. : 06/06/94 SITE ADDRESS:81 BRIDLE WAY :PORT TOWNSEND, WA 98368 OWNER *WESLEY WILEY PHONE: 379-0833 MAILING ADDR:2206 45TH AVE :SAN FRANCISCO CA 94116 CONTRACTOR. . :SUNSHINE PROPANE PHONE: 385-5797 MAILING ADDR: 304 10TH ST 98368 :PORT TOWNSEND WA CONTR. LIC #:SUNSHP*077QP EXPIRATION DATE: 11/17/94 ARCHITECT/ . . : PHONE: DESIGNER • MAILING ADDR: ALT: CON: NA: __PARCEL NO. . . :941100012 WATER-T- DATE• LEGAL DESC. . :STR 18-30-01 WWM, TAX # SHORELINES: : LOT 12 , BLOCK , CAPE GEO VILL DIV5 BY: DATE: DESCRIPTION OF IMPROVEMENT: 500 sq ft radiant floor installation BUILDING TYPE 'RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf TYPE OF IMPROVEMENT:ALT 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 DECKS 0 sf UNITS. : 0 STORIES: 0 HEAT TYPES. : COMMERCIAL: 0 sf DIMENSIONS: MOBILE HOME FRAME TYPE: MAKE: YR: INDUSTRIAL: 0 sf EST COST. $: 3500 SIZE: BANK HT. . . : 0 ft PROJ GRP. . : 5714 SH SETBACK: 0 ft Owner/agentFEES Signature: type amount by date recpt PRMT $ 63 . 00 AK 06/06/94 92442 Date: \ PLCK $ 18.90 AK 06/06/94 92442 11" ,s1 B.C. $ 4.50 AK 06/06/94 92442 Issued By: \ '- V-- Jefferson Z Misty r'+L.,t::; Date: $ 86.40 TOTAL • 0 *JEFFERSON COUNTY BUILDING PERMIT APPLICATION BUILDING TYPE IMPROVEMENT TYPE P SINGLE FAMILY 0 NEW BUILDING ❑ MOBILE 0 ADDITION 500+/500- ❑ MODULAR ALTERATION ❑ GARAGE ATTACHED/DETACHED REPAIR ❑ WOODSTOVE 0 DEMOLITION ❑ MULTI-FAMILY/UNITS ❑ RELOCATION ❑ COMMERCIAL ❑ INDUSTRIAL ❑ HOTEL/MOTEL/DORM/UNITS ❑ OTHER UBC OCCUPANCY GROUP /` DESCRIPTION OF IMPROVEMENT: g54444.44t+ F/004 Ate&4l1.tj SQUARE FOOTAGE PRINCIPLE TYPE OF HEATING FUEL MAIN FLOOR X ELECTRICITY ❑ OIL 2ND FLOOR / ❑ WOODSTOVE ❑ GAS 3RD FLOOR ❑ HEAT PUMP ❑ OTHER HTD BASEMENT S O (� UNHTD BASEMENT T CARPORT PRINCIPLE TYPE OF FRAME GARAGE DECKS WOOD ❑ MASONRY COMMERCIAL ❑ MANUFACTURED 0 OTHER INDUSTRIAL 0 STRUCTURAL STEEL OTHER .7 -24-" ,-. TOTAL VALUATION OR ESTIMATED COT 3 S00 Pg INSTALLED 1973 TYPE OF SEWAGE DISPOSAL: ❑ SEWER x SEPTIC SYSTEM ❑ NOT INSTALLED TYPE OF WATER SUPPLY: PRIVATE X DRILLED WELL OTHER , / PUBLIC ❑ CITY OTHER: NAME( ceov C_ Yn(4�4_- S4(Sfet4.4 ❑ PUD STATE I.D. jj NUMBER OF EXISTING BEDROOMS 3 NUMBER OF EXISTING BATHROOMS 2 i/Z. NUMBER OF PROPOSED BEDROOMS NUMBER OF PROPOSED BATHROOMS TOTAL NUMBER OF BEDROOMS 3 TOTAL NUMBER OF BATHROOMS 2:4... IF WATERFRONT PROPERTY NAME OF ADJACENT BODY OF WATER BANK HEIGHT SETBACK SIGNATURE /� 61---'�e C ‘1"4"--0-7 DATE 4//4/74/ 1 / r APPLICANT NAME (PLEASE PRINT) k[e$ VJi1ti Viff; WILEY: PADIA/47 raiz - 2 EMZEL, fi.1 PeoC,712ESS S( aLIN..E W4)r - aAPE, erfOladre, Alerk LA41146, , <-------- - 30' - -- - ----------- - -_-:21 r — A 1\i‘ \7 1,,,,4,0 1 T E/Z lik.t.:11..C) - 1 z v• 1 . .... ... -' / I p VP \ 1 I ...—..,// --- ....-------, 25 t 214 Pla Ic 5 •/ / it ',JEW CoAde:RETE. / 1-14iLAe.) \Ali / , / (4` i'R-G 415007704 f",.. fl) / Rilaiur fir:4r -GI la-i•iff.',5 (TY P) ace- ind ro eli Rtlievia) &Cc- 1313 To isg RtimovE4 ' 1 _ Wir4Dotel" \d/AlbOW l‘101-E'L ;1)6A:41414a- i4f. 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