HomeMy WebLinkAboutBLD1994-00377 JEFFERSON COUNTY MOBILE HOME PERMIT
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
206-379-4450
PERMIT # •BLD94-0377 DATE ISSUED. : 06/21/94
SITE ADDRESS: 257 N BAYVIEW DR
:PORT LUDLOW, WA 98365
APPLICANT. . . :GLEN SCHENK PHONE: 437-2823
MAILING ADDR: 271 N BAYVIEW DR
:PORT LUDLOW WA 98365
PROPERTY OWNER: ATE PHONE:
MAILING ADDR. . :
CONTRACTOR. . : PHONE:
MAILING ADDR:
CONTR. LIC #: EXPIRATION DATE: / /
PARCEL NO. . . : 921332031
LEGAL DESC. . :STR 33-29-01 EWM, TAX # 32
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 06/21/95
( ) Footing/Setbacks (If continuous footings are used) : 3/F)A3
( ) '=lockin• - .. 1, . 'n• • ► �' ✓ ' i
( ) Sewage Disposal System Final:
( ) (Lt al/Skirting/Vents/Porches/Steps: a Al_
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 # •BLD94-0377 DATE RECEIVED. : 06/14/94
SITE ADDRESS:271 N BAYVIEW DR
:PORT LUDLOW, WA 98365
APPLICANT. . . :GLEN SCHENK PHONE: 437-2823
MAILING ADDR: 271 N BAYVIEW DR
:PORT LUDLOW WA 98365
PROPERTY OWNER: s E PHONE:
MAILING ADDR. . :
•
CONTRACTOR. . : PHONE:
MAILING ADDR:
CONTR. LIC #: EXPIRATION DATE: / /
`-ii47
PARCEL NO. . . : 921332031
ALT: / C NA
LEGAL DESC. . :STR 33-29-01 EWM, TAX # 32 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. . : 2 PROP. . : 2 HTED BSMT. : 0 sf
WOODSTOVE • TOTAL. : 2 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:MODULINE YR:94 INDUSTRIAL: 0 sf
EST COST. $: 29235 SIZE: 28 X 40 BANK HT. . . : 0 ft
PROJ GRP. . : 3822 SH SETBACK: O ft
Owner/agent FEES
Signature: type amount by date recpt
PRMT $ 75. 00 AK 06/13/94 94708
Date: B� $ 4. 50 AK 06/13/94 94708
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Issued By: I- 1
1
' er\ , \I
Date:
$ 79. 50 TOTAL
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.
MOBILE HOME DATA:
LENGTH (exclude hitch): 4D WIDTH: „P YEAR: / Z
MAKE: J )CiD Litt C - /114-7)15 a N MODEL: J2/4 Dl S 0 A
SERIAL NUMBER: 1— /9J 77
WILL THE MOBILE HOME BE IN A PARK? (circle one) YES NO
If you have circled YES, please give PARK NAME, SPACE #, & DATE OF PLACEMENT:
PARK NAME:
SPACE #: DA TEPLACED IN PARK:
MOBILE HOME LOCATION- NOT IN A PARK:
Do you own (or are you buying) land on which mobile home is located or do you rent the land?
Circle one: COWIV__) BUYING RENT
PARCEL # (from your tax statement): 91;7/ 33 :2
c 3/
SITE ADDRESS
FIRE#/ROAD NAME: -i/ N, /?�� J j ,�� y� �i � ��r ZIPCODE q g 5 ;, SJ
If you rent the land, what is the name and mailing address of the land owner?:
NAME:
ADDRESS:
TELEPHONE NUMBER:
FOR OFFICE USE ONLY
RP Account #:
PP Account #:
Date:
REASON FOR INQUIRY:
Field Visit Excise tax Building Moving
by deputy affidavit permit permit
Dealer report Application Deliquent State transfer
by sale for title taxes report
h:\home\pinc ntr\forms\assessor.frm
•
• •
**JEFFERSON COUNTY MOBILE HOME INSTALLATION PERMIT APPLICATION
BUILDING TYPE IMPROVEMENT TYPE UBC OCCUPANCY
CS MOBILE 0 NEW BUILDING GROUP
SIZE ag K44-()
YEAR 1194/
MAKE MCOO L//VI. M.4OJtS , rel
COST o21 a 351Lry,i
DESCRIPTION OF IMPROVEMENT:
TYPE OF SEWAGE DISPOSAL: ❑ INSTALLED 19, .f
❑ SEWER INDIVIDUAL SEPTIC
❑ N57 INSTALLED
TYPE OF WATER SUPPLY: PRIVATE [i DRILLED-WELL OTHE'
PUBLIC ❑ CITY OTHER: NAME
❑ PUD STATE I.D.
NUMBER OF EXISTING BEDROOMS a NUMBER OF EXISTING BATHROOMS a.
NUMBER OF PROPOSED BEDROOMS .2 NUMBER OF PROPOSED BATHROOMS
TOTAL NUMBER OF BEDROOMS ,D_ TOTAL NUMBER OF BATHROOMS :2
IF WATERFRONT PROPERTY NAME OF ADJACENT BODY (*TER
BANK HEIGHT SETBACK
SIGNATURE DATE
APPLICANT NAME (PLEASE PRINT)
FOR OFFICE USE ONLY
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT
'1/4
BASE FEE / Li
PLAN CHECK RECEIPT # ` �O
43)g li-
STATE SURCHARGE
fig
TOTAL ` / CASH/CHECK # 6/
h:\HOME\PLNCNTR\FORMS\MOBILE.APP
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