HomeMy WebLinkAboutBLD2002-00703 IlikUILDING PERMIT APPLICAON Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00703 Received Date: 12/2/2002
SITE ADDRESS: OAK BAY RD
PORT LUDLOW, 98365
OWNER: JOHN N MITCHELL PHONE: 360 467 9847
PRISCILLA CLAIRE MITCHELL
704 OLYMPIC RIDGE DR
PORT LUDLOW WA 98365-9555
SUBDIVISION: OLYMPUS BEACH Block: Lot: 107
PARCEL NUMBER: 978900104 Section: 4 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION DEMOLITION
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP DEM
VALUATION MAIN:
CODE EDITION: 1997 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: Prop: Seismic Streams
Total: Total: Flood Way Floodplain
Routing Date: i F&W Landslide
Z-1-- - I_ - Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $47.00 MAM 12/02/02 51429
State Building Code $4.50 MAM 12/02/02 51429
Total: $51.50
JEFFERSON COUNTY COMMUNiTDEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSL!4J WA 98368 PH: (360) 379-4450
DEMOLITION PERMIT APPLICATION ,' i — 6do
Ai
SITE ADDRESS: ZC.1 � �e g911#/ROAD NAME
Rd)it. % cil0 i�C;)CGJ `VA ZIP 9 3c ,5
9 DIGIT PARCEL ID NUMBER 7 78 9 7O / "' 4
Legal Description: .1 j�.� /D 7 G/Ly*,000s „1��-'�'
Subdivision Name ��� A �� k 2'j) mock ! Lot(s)
Section e,L 3 Tow p Citorth, Ftarefipts.eob4 671,A/it.
APPLICANT ,4 AY /4) 6.r--.—. PHONE 4132- 9S4 7
MAILING ADDRESS /� (r L', ,/'J c.�j ,Ei AO 4®/ Pjz_z•LO
5/C.- 2-vK/C�a `7/� ZIP 7 9 CO��
PROPERTY OWNER x PHONE
MAILING ADDRESS
ZIP
CONTRACTOR ` en /ilf' AtI / 432 914-7
''PHONE
MAILING ADDRESS
ZIP
STATE LICENSE # —fz q _?, / i9 EXP. DATE , -I-- Zoo
FEDERAL I.D. # 7J- 4 0 -- 34
By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any
material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being
null and void.
I further agree to save, indemnify and hold harmless Jefferson County against all liabilities, judgments, court costs, reasonable attorney's fees and
expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson County and it's employees, representatives or agents for the purpose of application
review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during
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DATE 0' ( �-" . __
FOR OFFICE USE ONLY
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