HomeMy WebLinkAboutBLD1994-00473 JEFFERSON COUNTY MOBILE HOME PERMIT
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
206-379-4450
PERMIT # •BLD94-0473 DATE ISSUED. : 08/01/94
SITE ADDRESS: 43 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. . . : 963303308
LEGAL DESC. . : STR 17-30-01 WWM, TAX # 161
LOT 12 , BLOCK 33 , 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
( ) ."•otinn.. - • -►f continuous footings are used) :
( Blocking/Setbacks/P1 in• • _ Apr—• AO_ ;-,
( ) Sewage Disposal System Final:
( Final/Skirting/Vents/Porches/Steps). �% "'`"� ,` i �Q-3" jt�L
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
111
JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
206-379-4450
PERMIT # •BLD94-0473 DATE RECEIVED. : 07/14/94
SITE ADDRESS: 43 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. . . :963303308 ALT: CON: NA:
LEGAL DESC. . : STR 17-30-01 WWM, TAX # 161 WATER: DATE:
LOT 12 , BLOCK 33 , 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 OTHER • 0 sf
TYPE OF CONST • WATER SUPPLY. :PUBLIC CRPT/GAR. . : 0 sf
UNITS. : 0 STORIES: 0 HEAT TYPES. : DECKS • 0 sf
DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf
FRAME TYPE: MAKE:MARLETTE YR:94 INDUSTRIAL: 0 sf
EST COST. $: 0 SIZE: 1500 S.F. BANK HT. . . : 0 ft
PROJ GRP. . : 5589 SH SETBACK: 0 ft
Owner/agent FEES
Signature: type amount by date recpt
PRMT $ 75.00 AMW 07/14/94 94820
Date: =
"" B.C. $ 4.50 AMW 07/14/94 94820
Issued By: s
Date• Jefferson County Ptar�rEi11
n0
111111161461/4
& Building Department
$ 79.50 TOTAL
I
MOBILE HOME DATA:
LENGTH (exclude hitch): WIDTH: YEAR:
MAKE: MODEL:
SERIAL NUMBER:
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 #: DATE PLACED IN PARK:
MOBILE HOME LOCATION- NOT INA 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):
SITE ADDRESS
FIRE#/ROAD NAME: 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
JEFFERSON COUNTY
OFFICE OF THE ASSESSOR
PLEASE READ THE ENTIRE FORM AND PROVIDE AS MUCH INFORMATION AS POSSIBLE. THIS
WILL HELP US IDENTIFY THE UNIT CORRECTLY AND AVOID DOUBLE TAX ASSESSMENTS. IT WILL
ALSO AID IN PLACING A CORRECT VALUE ON YOUR PROPERTY.
DID YOU APPLY FOR A MOVING PERMIT?: Circle one: YES
IN WHICH COUNTY DID YOU APPLY FOR A MOVING PERMIT?:
WHAT WAS THE PREVIOUS ADDRESS OF THE MOBILE HOME?:
WHO WAS THE PREVIOUS OWNER OF THE MOBILE HOME?: �/4�
/ V
Previous Owner Mailing Address:
DID A MOBILE HOME DEALER DELIVER THE MOBILE HOME?: Circle one: YES �O
WAS THE ADVANCE PROPERTY TAX PAID?: Circle one: YES
To which County was the tax paid?
WHAT DATE DID YOU PURCHASE THE MOBILE HOME?: AIS
WHAT WAS THE PURCHASE PRICE?:
DOES THIS NEW MOBILE HOME REPLACE A MOBILE HOME?: Circle one: YES NO
If this is a replacement, to whom and where did the previous mobile home go?
MOBILE HOME OWNERSHIP/OCCUPANT DATA:
NAME(S) G 17. //4..Le/(:)/l41_2/ p
MAILING ADDRESS
CITY /A7- 20,Q,{Ulr� STATE/ZIPCODE i//�f 9�3�5
HOME PHONE WORK PHONE 3 15.107 3
NOTE: If you rent the mobile home, give name, address, and telephone number of the owner:
M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M K M M M
• • e i
**JEFFERSON COUNTY MOBILE HOME INSTALLATION PERMIT APPLICATION
BUILDING TYPE IMPROVEMENT TYPE UBC OCCUPANCY
MOBILE 0 NEW BUILDING GROUP =-
SIZE "3dr,
YEAR 1991
MAKE �Q�,4'... .
COST
DESCRIPTION OF IMPROVEMENT: , el3/1 JVE
TYPE OF SEWAGE DISPOSAL: ,K INSTALLED 199'f
0 SEWER X INDIVIDUAL SEPTIC
tglijA&T INSTALLED
TYPE OF WATER SUPPLY: PRIVATE 0 DRILLED WELL OTHER
PUBLIC 0 CITY OTHER: NAME !�
X PUD STATE I.D. !/.�l/5�g
NUMBER OF EXISTING BEDROOMS y NUMBER OF EXISTING BATHROOMS o`
NUMBER OF PROPOSED BEDROOMS NUMBER OF PROPOSED BATHROOMS
TOTAL NUMBER OF BEDROOMS 3 TOTAL NUMBER OF BATHROOMS of
IF WATERFRONT PROPERTY NAME OF ADJACENT BODY OF WATER
BANK HEIGHT SETBACK
4 ;
/ L-/ 7.y 9;
SIGNATURE / / G� DATE
APPLICANT NAME (P ASE PRINT) � 27E-- , -..e.,./---7-1, -.A)/--
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FOR OFFICE USE ONLY
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT
BASE FEE
PLAN CHECK RECEIPT # Nt ,
STATE SURCHARGE DATE 1 Z`f 4
TOTAL ( CASH/CHECK #
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