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BLD1994-00206
JEFFERSON COUNTY INSTALLATION APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 206-379-4450 PERMIT # •BLD94-0206 DATE RECEIVED. : 04/11/94 SITE ADDRESS: 1743 BEAVER VALLEY RD :PORT LUDLOW, WA 98365 APPLICANT. . . :RON CRAIG PHONE: 732-6815 MAILING ADDR: 1743 BEAVER VALLEY RD :PORT LUDLOW WA 98365 PROPERTY OWNER:RON CRAIG PHONE: MAILING ADDR. . : • CONTRACTOR. . : PHONE: MAILING ADDR: fint 7-ed 4/- 4)) • CONTR. LIC #: EXPIRATION DAT �PZ/�9 PARCEL NO. . . : 8211 004 I;tee. ALT: CON: NA: _ LEGAL DESC. . : STR 28-01 EWM, TAX WATER : DATE: LOT , BLOCK , SHORELINES: BY: DATE: DESCRIPTION OF PRO EMENT Mo ' le ome installation BUILDING TYPE. . . . . :MOB DROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf TYPE OF IMPROVEM T: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: SEWAGE DISP. . : CARPORT. . . : 0 sf TYPE OF CONST WATER SUPPLY. :PWELL GARAGE • 0 sf UNITS. : 0 STORIES: 0 HEAT TYPES. : DECKS • 0 sf DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE: MAKE: 40 X 12 YR: INDUSTRIAL: 0 sf EST COST. $: 5000 SIZE: BANK HT. . . : 0 ft PROJ GRP. . : 5489 SH SETBACK: 0 ft Owner/agent FEES Signature: type amount by date recpt PRMT $ 75. 00 AK 04/07/94 91232 Date: B.C. $ 4 .50 AK 04/07/94 91232 Issued By: Date: $ 79 .50 TOTAL