HomeMy WebLinkAboutBLD1994-00373 JEFFERSON COUNTY MOBILE HOME PERMIT
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
206-379-4450
PERMIT # •BLD94-0373 DATE ISSUED. : 07/06/94
SITE ADDRESS:4952 DABOB RD
:QUILCENE, WA 98376
APPLICANT. . . :CRAIG MARBET PHONE: 877-6861
MAILING ADDR:BOX 86
:BRINNON WA 98320
PROPERTY OWNER: SE PHONE:
MAILING ADDR. . :
•
CONTRACTOR. . : PHONE:
MAILING ADDR:
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CONTR. LIC #:: EXPIRATION DATE: / /
PARCEL NO. . . : 701051017
LEGAL DESC. . : STR 95-27-01 WWM, TAX # 321
LOT , BLOCK ,
DESCRIPTION OF IMPROVEMENT: Install mobile home
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 07/06/95
( ) Footing/Setbacks (If continuous footings are used) :
( ) Blocking/Setbacks/Plumbing:
( ) Sewage Disposal System Final:
( ) Final/Skirting/Vents/Porches/Steps:
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
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JEFFERSON COUNTY
INSTALLATION APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
206-379-4450
PERMIT # •BLD94-0373 DATE RECEIVED. : 06/13/94
SITE ADDRESS: DABOB RD
:QUILCENE, WA 98376
APPLICANT. . . :CRAIG MARBET PHONE: 877-6861
MAILING ADDR:BOX 86
:BRINNON WA 98320
PROPERTY OWNER: , _ 4 � PHONE:
MAILING ADDR. . :
CONTRACTOR. . :WELCH R.S. PHONE: 385-5910
MAILING ADDR:SEPTIC SENSE
:PO BOX 1221
:PORT HADLOCK WA 98339
CONTR. LIC #:DES WELCH EXPIRATION DATE: / /
PARCEL NO. . . : 7 010 51017 ALT: W.--CON: ' �1N : __LEGAL DESC. . :STR 95-27-01 WWM, TAX # WATER : li DATE.
LOT , BLOCK , SHORELINES.•
BY: DATE:
DESCRIPTION OF IMPROVEMENT: Install mobile home
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. . : 2 PROP. . : 1 HTED BSMT. : 0 sf
WOODSTOVE • TOTAL. : 2 TOTAL. : 1 UNHT BSMT. : 0 sf
UBC OCCUPANCY GROUP:R3 SEWAGE DISP. . : CARPORT. . . : 0 sf
TYPE OF CONST • WATER SUPPLY. : GARAGE • 0 sf
UNITS. : 0 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. $: 42000 SIZE: 40 X 27 BANK HT. . . : 0 ft
PROJ GRP. . : 5686 SH SETBACK: 0 ft
Owner/agent A a �`4® FEES
Signature: rR I ii type amount by date recpt
PRMT $ 75. 00 AK 06/09/94 94652
Date: � �� „ B.C. $ 4.50 AK 06/09/94 94652
Issued By: 2 -.
Date: 7,31,,y,-TO 1 -!
GRr
$ 79 . 50 TOTAL
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4111 4110
**JEFFERSON.COUNTY MOBILE HOME INSTALLATION PERMIT APPLICATION
BUILDING TYPE IMPROVEMENT TYPE UBC OCCUPANCY
❑ MOBILEpp ❑ NEW BUILDING GROUP
SIZE 1080 5•�•
YEAR .944,--
MAKE
R4--MAKE (C
COST 44000
DESCRIPTION OF IMPROVEMENT: P\c('Q., c)(\ -P\bkNOVV. `-iC �K\(-*\r\42), P(.)RC
TYPE OF SEWAGE DISPOSAL: — 0 INSTALLED 19_
0 SEWER Ltd/ INDIVIDUAL SEPTIC
LAG" NOT INSTALLED
TYPE OF WATER SUPPLY: PRIVATE LS'DRILLED WELL OTHER
PUBLIC 0 CITY OTHER: NAME
❑ PUD STATE I.D.
NUMBER OF EXISTING BEDROOMS NUMBER OF EXISTING BATHROOMS
NUMBER OF PROPOSED BEDROOMS Z„ NUMBER OF PROPOSED BATHROOMS
TOTAL NUMBER OF BEDROOMS TOTAL NUMBER OF BATHROOMS
IF WATERFRONT PROPERTY NAME OF ADJACENT BODY OF WATER NP\
BANK HEIGHT SETBACK
SIGNATURE �7 /�� DATE 6/x/9¢
APPLICANT NAME (PLEASE PRINT) oQ Pc. (1 &. / 4* r
***********,t,t,t....,rw,e,r,ew***a e**********,t,tw,r****,►***.,rw*w,e.......****www**r t****************,e***
FOR OFFICE USE ONLY
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT
BASE FEE
PLAN CHECK RECEIPT #
STATE SURCHARGE DATE 6/67
TOTAL CASH/CHECK #;4?-7:!,5
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