HomeMy WebLinkAboutBLD1985-00006 oy._✓ .y
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Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend , WA 98368
206-385-9141
PF.RMTT # •RT,DR5-0006 DATE. TSSTTF:T). : 05/0g/A5
STTF, ADDRESS : 2;31 T)OC W00T) T.N
-RRTNNON, WA 9832O
OWNER •K T RK RTISSETJ. PHONE: 796-4607
MATT.TNG ADDR ! 2:31 T)0nW00T) T,ANF.
:RRTNNON WA 98320
CONTRACTOR . . :NO CONTRACTOR PHONE:
MATLTNG AffR ,
CONTR. LTC #- F.XPTRATTON DATE.
PARCEL NO. . - ' 958500050
LE(-;AT. DESC. . -STR WM, TAX #
LOT ; RT,OCK
DF.SCRTPTTON OF TMPROVEMENT- addition
( ) Footing/SPthacks (Shoreline Setback) /Mohile Home Riocking:
( ) Foundation :
( ) Underground Plumhing/Underground Tnsuiation
f i Framing/Plumbing/Chimney: _
t2.-z 3-13 pti orc5 th 413Loesr
( ) Tnsuiation :
( ) Sheetrnck:
( ) Sewage Disposal System Final :
( ) Final /Occupancy Approval :_
04< Igevr— d 4/1b it
CALL 3R5-9141 24 HOURS TN ADVANCE TO SCHEDULE TNSPF.CTTONS .
Office Hours 9 a .m. to 5 n.m.
Tnspec:tor ' s Hours 9 10 a .m.
24 Hour Recorder for Tnsnectinns.
I
BUILDING PERMIT APPLICA
Jefferson County B rn9 Department • County Courthouse • Port send, Wash.98368 • 385 1310
N E O A ' ROAD FEET
S W SIDE OF
I. LOCATION: yeopraGhre name _ ROAD
N E ROAD AND _ 31 ��,
S W FROM INTERSECTION OF
TAW a
other specific location or landmark
LEGAL DESCRIPTION:
Lot Block Subdivision
C,. ------ — Township Range
Tax Number
`G Section Section
II.TYPE AND COST OF BUILDING MOBILITY
TYPE OF IMPROVEMENT BUILDING TYPE
( Smgte Family Multi-Family 0 New County Resident
0 L New building
Tr Is this structure to serve the residential
dition number of units or commercial needs of those employed
ID Alteration D Hotel,Motel,Dormitory at either the US.Navy's Trident or
[]Repair,replacement number of units. Indian Island Facilities?
D Wrecking 0 Mobile Home
D Moving(relow\ion) 0 Other—Specify
❑YES ONO
Foundation only
USE
..Kull-time Residence
OWNERSHIP
❑Second Home:Recreation Cabin.etc.
vate(individual,corporation,
onprofit institution,etc.) ❑Seconder omanent rei dente conversion to
• 0 Public(Federal,State or local gov't.) UBC OCCUPANCY GROUP: is '
(Omit cents) Nonresidential—Describe in detail proposed use of buildings,e.g.,food
COST laundry building at hospital,elementary
$ processing plant,machine shop, parking garage for
• Cost of improvement school,secondary school,college,parochial school,pa g ga g
in be aboveedbut not included department store,rental office building,office building at industrial plant.
a.the above cost If use of existing building is being changed,enter proposed use.
a. Electrical / a t ,ml `•S.2.Sa
b. Plumbing $ ( . O — ill
I
c. Heating,air conditioning
d. Other(elevator,etc.)
• TOTAL COST OF IMPROVEMENT S
III.SELECTED CHARACTERISTICS OF BUILDING -
DIMENSIONS
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL •Number of Stories
D Masonry (wall bearing) 0 Public or Private , •Total square feet of floor area.
all floors,based on exterior 4/56
Wood Frame Indivdual (septic tank,etc.) dimensions
0Structural steel TYPE OF WATER SUPPLY •Total land area,sq.ft. ��
D Reinforced concrete public or private company
`T NUMBER OF OFF-STREET
Other—Specify 0 Individual (well,cistern) PARKING SPACES
Enclosed
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE
Outdoors
D Gas RESIDENTIAL BUILDINGS ONLY ,'� �
D pit Number of bedrooms
t [-lectricity TYPE OF MECHANICAL Full
• 00 Number of
bathrooms Partial
• Do
.7 961- 5/6'0"7
IV. IDEN1 et,city and State ZIP code Tel.No.
-Owner Txs\.-.........../.e-..- - - ft _
�Q 2.
VII( 1 I t^ras Contract° S P' -
Qy� P(si'A'
"3 v I�cJ->�� C.- • as .1 erJ IIFIAIM
�^3 -3-s am 3. y r �g �-(.4-�
Architect
The owner of this ilding and the undersigned agree to conform to all applicable laws. _ Application date
Ad•ress c 7 ��
A� • r
/#iii I i , ../ /Ll l -AT ' if
. _' IR•�a ISTRICT SCHOOL DISTRICT*r ATER DISTRICT
—.•
6 '�.
`3o APPROVED BY y Zy a�� � rTr/ �-/trr l
TM O= Ott PERMIT N MBER
JEFFERSOrr COUNTY~' -. -- ISSUE DA
` APPRO' r :Y: /PERM�Fo $ I— 2 397_
•
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