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HomeMy WebLinkAboutBLD1994-00466 JEFFERSON COUNTY MOBILE HOME PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 206-379-4450 PERMIT # •BLD94-0466 DATE ISSUED. : 08/01/94 SITE ADDRESS: 142 ASH LOOP :PORT TOWNSEND, WA 98368 APPLICANT. . . :GE DEVELOPMENT PHONE: 437-0166 MAILING ADDR: 501 OSPREY RIDGE RD :PORT LUDLOW WA 98365 PROPERTY OWNER: PHONE: MAILING ADDR. . : • CONTRACTOR. . :ALL PHASES NORTHWEST INC PHONE: 437-0166 MAILING ADDR: 472 MONTGOMERY LN :PORT LUDLOW WA 98365 CONTR. LIC #:ALLPHNI101RP EXPIRATION DATE: 12/01/94 PARCEL NO. . . : 963303104 LEGAL DESC. . :STR 17-30-01 WWM, TAX # 161 LOT 6 , BLOCK 31 , IRVING PARK DESCRIPTION OF IMPROVEMENT: New 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 08/01/95 ( ) Footing/Setbacks (If continuous footings are used) : ,,,,„ ( ) Blocking/Setbacks/Plumbing: ( ) Sewage Disposal System Final: ( ) Final Sk' ' • • Vents/Porches/Step . Q iORP' /, '"7.Y-- CALL � ^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 BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 206-379-4450 PERMIT # •BLD94-0466 DATE RECEIVED. :07/14/94 SITE ADDRESS: 142 ASH LOOP :PORT TOWNSEND, WA 98368 OWNER •GE DEVELOPMENT PHONE:437-0166 MAILING ADDR: 501 OSPREY RIDGE RD :PORT LUDLOW WA 98365 CONTRACTOR. . :ALL PHASES NORTHWEST INC PHONE:437-0166 MAILING ADDR:472 MONTGOMERY LN :PORT LUDLOW WA 98365 CONTR. LIC #:ALLPHNI101RP EXPIRATION DATE: 12/01/94 ARCHITECT/ . . : PHONE: DESIGNER • MAILING ADDR: PARCEL NO. . . : 963303104 ALT: CON: NA: LEGAL DESC. . :STR 17-30-01 WWM, TAX # 161 WATER: DATE: LOT 6 , BLOCK 31 , IRVING PARK SHORELINES: BY: DATE: DESCRIPTION OF IMPROVEMENT: New 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. . : 3 PROP. . : 2 HTED BSMT. : 0 sf WOODSTOVE TOTAL. : 3 TOTAL. : 2 UNHT BSMT. : 0 sf UBC OCCUPANCY GROUP: SEWAGE DISP. . : SEPTIC ii(V) OTHER 0 sf TYPE OF CONST WATER SUPPLY. :PUBLICCRPT/GAR. . : 0 sf UNITS. : 0 STORIES: 0 HEAT TYPES. : C 1 DECKS 0 sf DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE: MAKE:MARLETTE YR:94 INDUSTRIAL: 0 sf EST COST. $: 0 SIZE: 1400 S.F. BANK HT. . . : 0 ft PROJ GRP. . : 5580 SH SETBACK: 0 ft Owner/agent r. - ,a FEES Signature: ,`F type amount by date recpt 5. 00 AMW 07/14/94 94820 Date: A ,!<k B.C. $ 74.50 AMW 07/14/94 94820 Issued By: WIDELPM Date: & DudJrng D par mr t $ 79.50 TOTAL (`( QL(' MOBILE HOME DATA: LENGTH (exclude hitch): ,j�' WIDTH: �� . - YEAR:/99y MAKE: } MODEL: SERIAL NUMBER: WILL THE MOBILE HOME BE IN A PARK? (circle one) YES 16 If you have circled YES, please give PARK NAME, SPACE #, & DATE OF PLACEMENT: PARK NAME: SPACE #: DATEPLACED IN PARK: MOBILE HOME LOCATION- NOT/N A PARK: Do you own (or are you buying) land on which mobile home is located or do you rent the land? Circle one: OWN BUYING RENT PARCEL # (from your tax statement): 96 3 ,.‘3310 9' SITE ADDRESS FIRE#/ROAD NAME: ./,„? /95/,e jpP ZIPCODE 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\pincntr\forms\assessor.frm 4 • • X **JEFFERSON COUNTY MOBILE HOME INSTALLATION PERMIT APPLICATION BUILDING TYPE IMPROVEMENT TYPE UBC OCCUPANCY MOBILE � 0 NEW BUILDING GROUP SIZE Jed YEAR /9941� � �� MAKE 7,21A/-0 COST DESCRIPTION OF IMPROVEMENT: TYPE OF SEWAGE DISPOSAL: ❑ INSTALLED 19_ ❑ SEWER INDIVIDUAL SEPTIC X NOT INSTALLED TYPE OF WATER SUPPLY: PRIVATE ❑ DRILLED WELL OTHER PUBLIC ❑ CITY OTHER: NAME 5( 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 TOTAL NUMBER OF BATHROOMS IF WATERFRONT PROPERTY NAME OF ADJACENT BODY OF WATER BANK HEIGHT SETBACK SIGNATURE //....524;!: � DATE /7-'4, ` 94/ APPLICANT NAME (PL ASE PRINT) ********************************************* *****************************w************************ FOR OFFICE USE ONLY PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT BASE FEE n% PLAN CHECK RECEIPT # ` 76",: -.-'6 STATE SURCHARGE DATE 1//L VY 2er)TOTAL CASH/CHECK # 6 (1/ h:\HOME\PLNCNTR\FORMS\MOBILE.APP ( �' . I 9 .9e" v. fi y f :� /11., _��) -ow _ :: lig -"nr --)1 ›.- \ \ M Q � , /—) 1 i I o 0 _ � � � ' 4 y aa)i .- 0 r0 a) r0 d c 0 c a) O C Q) CO y 0. O j ` co U O a) O 'y c6 a) U C Cl U N L f9 a) cn ` cro O r v-. `O COCw d r O) > Ea) COal 0 °. 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