HomeMy WebLinkAboutBLD1994-00362 JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
206-379-4450
PERMIT # •BLD94-0362 DATE RECEIVED. : 06/06/94
SITE ADDRESS:250 OLD FERRY RD
:PORT HADLOCK, WA 98339
OWNER •CECIL DUDGEONX PHONE:385-7379
MAILING ADDR:250 OLD FERRY RD p,;i4,97 .1o3
:PORT HADLOCK WA 98339 .37g012)
CONTRACTOR. . : PHONE:
MAILING ADDR:
•
CONTR. LIC #: EXPIRATION DATE: / /
ARCHITECT/ . . : s ' PHONE:
DESIGNER
MAILING ADDR:
JZZO2 ) *9 AZ 7D6-ei/nir
PARCEL NO. . . :989100013 (7 ALT: CON: NA: _
LEGAL DESC. . :STR 01-29-01 WWM, TAX # WATER-7- DATE:
LOT , BLOCK , PORTAGE BAY PARK SHORELINES:
BY: DATE:
DESCRIPTION OF IMPROVEMENT: DECK
BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf
TYPE OF IMPROVEMENT:AD- 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
UNITS. : 0 STORIES:O HEAT TYPES. : DECKS • 264 sf
DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf
FRAME TYPE: MAKE: YR: INDUSTRIAL: 0 sf
EST COST. $: 2640 SIZE: BANK HT. . . :0 ft
PROJ GRP. . : 5715 SH SETBACK: 0 ft
Owner/agent FEES
Signature: type amount by date recpt
PRMT $ 54. AK 06/06/94 92440
Date: PLCK $ C ':16.20 06/06/94 92440
B.C. $ 06/06/94 92440
Issued By:
Date:
$ 74 .70 TOTAL
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*JEFFERSON COUNTY BUILDING PERMIT APPLICATION
BUILDING TYPE IMPROVEMENT TYPE
SINGLE FAMILY if NEW BUILDING
❑ MOBILE 0 ADDITION 500+1500-
0 MODULAR 0 ALTERATION
GARAGE * DETACHED 0 REPAIR
❑ WOODSTOVE 0 DEMOLITION
❑ MULTI-FAMILY/UNITS 0 RELOCATION
❑ COMMERCIAL
❑ INDUSTRIAL
❑ HOTEL/MOTEL/DORM/UNITS
❑ OTHER UBC OCCUPANCY GROUP
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DESCRIPTION OF IMPROVEMENT: 1 I'''1 (1 I lw I'0 kA'L Dee_ (S' I i't•q
SQUARE FOOTAGE PRINCIPLE TYPE OF HEATING FUEL
MAIN FLOOR 0 ELECTRICITY 0 OIL
2ND FLOOR 0 WOODSTOVE 0 GAS
3RD FLOOR 0 HEAT PUMP 0 OTHER
HTD BASEMENT
UNHTD BASEMENT
CARPORT PRINCIPLE TYPE Of FRAME
GARAGE
DECKS 1 7 X 22 Lens 31- K12: J�dir wC11 WOOD ❑ MASONRY
COMMERCIAL 0 MANUFACTURED 0 OTHER
INDUSTRIAL 0 STRUCTURAL STEEL
OTHER
TOTAL VALUATION 4 OR ESTIMATED COST
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O INSTALLED 19_
TYPE OF SEWAGE DISPOSAL: 0 SEWER CY7SEPTIC SYSTEM
O NOT INSTALLED
TYPE OF WATER SUPPLY: PRIVATE ❑ DRILLED WELL OTHER
PUBLIC Ii CITY OTHER: NAME
0 PUD STATE I.D.
NUMBER OF EXISTING BEDROOMS Z- NUMBER OF EXISTING BATHROOMS ( 4--'
NUMBER OF PROPOSED BEDROOMS NUMBER OF PROPOSED BATHROOMS
TOTAL NUMBER OF BEDROOMS TOTAL NUMBER OF BATHROOMS
ti
IF WATERFRONT PROPERTY NAME OF ADJACENT BODY OF WATER ePD " 1-C"-`-'1'Lse u-C- 'la y
BANK HEIGHT SETBACK )
SIGNATURE (_:71: . �_'!�--�`3—.— DATE °� a AAPPLICANT NAME (PLEASE • 2 JO L14 D C-7 '1 I
JEFFERSON COUNTY UNIVERSAL PLOT PLAN AND DEVELOPMENT APPLICATION
(This is not a permit)
(1Fill in the following information as completely as possible
PROPERTY OWNER MANE C c C 1 I t/t c GYq� e o i'C PHONE ✓ a 7-3 7
V
MAILING ADDRESS 2 S Q (r) (t t—eh'f"�{ cI
1 , y
CITY/STATE �01--� 1-4.1 d ( O C 1� Wd, ZIP c g j #.,f/
APPLICANT MAME (if different) PHONE O 33
or AUTHORIZED REP (circle one)
MAILING ADDRESS
SEPTIC DESIGNER PHONE
MAILING ADDRESS
GENERAL CONTRACTOR
MAILING ADDRESS PHONE
STATE LICENSE NUMBER EXPIRATION DATE
ARCHITECT PHONE
MAILING ADDRESS
LOAM LENDER NAME/BOND BOLDER MANE
MAILING ADDRESS PHONE
SITE ADDRESS: ,. 7 O �j
91111/ROAD MANE 2 E74::› 0(c� here- 1 g O a� ZIP CODE l a 3 O 3 1
1'orf1!-F�tLtoc 4.3LEGAL DESCRI�
SUBDIVISIONINAMEN Qr T do e' 1541,1 �a. Y'" LOPIOI BLOCK DIVISION
TAX NUMBER 9 DIGIT PARCEL NUMBER ' 8 ( / 00 Q f
N
SECTION 1 TOWNSHIP J NORTH RANGE tJ WM 6 0 v F L o i `� •
DESCRIPTION OF IMPROVEMENT: pd./( 7)(2!(2
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
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