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BLD1984-00007
, $ a .T FW1 '1 1 C )T.J C':C-)t71\79W 1R t7T T.T)T 1\TC7. 1 F.RMT M Jefferson County Planning and Building Department Courthouse, :3rd Floor PO Box 1220 Port Townsend , WA 95 368 206-385-9141 PERMIT # •RT.D84-0007 DATF. TSSTIF:D_ ! 05/a0/S4 SITE ADDRESS : :321 :3 HASTINGS AVE W PORT TOWNSEND, WA 98368 8 OWNER -JOHN PTSKTTLA PHONE: 385-4646 MATT.TN(-; ADDR: :3213 HASTINGS AVE W !PORT TOWNSRND WA 98368 CONTRACTOR. - :NO CONTRACTOR PHONE: MATT.TN(; ADDR : CONTR. LTC #: RXPTRATTON T)ATF.: PARCEL NO. . . : 00106401 LEGAL AT. T)FSC . . :STR 06-30-01 WWM. TAX # TOOT RT,OCK DFSCRTPTTON OF TMPROVF.MF.NT: STN(;LF. FAMTLY RF.STDF.NCF ( ) Footing/Setbacks (Shoreline Setback) /Mobile Home Blocking: l 1 Foundation : ( ) Underground P i umh i ng/Tlnderground insulation ! ( ) Framing/Plumbing/Chimney: ( ) Insulation ! ( ) Sheetrock: • ( ) Sewage Disposal System Final : ( ) 1 /Occ:unancv Approval : /s //-7-4t)s' CALL 385-9141 24 HOURS TN ADVANCE TO SCHF.DTUT,F. TNSPFCTTONS . Office Hours 9 a . m . to 5 n.m. Tnsnector ' s Hours 9 - 10 a .m. 24 Hour Recorder for Tnspections. ` BUILDING PERMIT APPLICATION • Jefferson County Building Depar ent• County C urthouse • Port Townsend, Wash.98368 • 385-1310 P N E I. LOCATION: geographic name SW SIDE -GU. FEET NE S W FROM INTERSECTION OF 3'• 1 I ROAD ND ROAD other specific location or landmark: 3 t -�'.3 a4.,4,-. Gc.�-. • LE(/AL DESCRIPTIO : mietct e D J Lot •Crii Subdivision/ Block Sw Si' ,56'' 40 3o /016 Tax Nuyer r//�Y.Section Section Township Range II.TYPE AND COST OF BUILDING r2 N Gt.J 5 e" SO' TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY ®New building fiA Single Family El New County Resident ❑Addition ❑Multi-Family Is this structure to serve the residential ❑Alteration number of units or commercial needs of those employed ❑Hotel,Motel,Dormitory at either the US.Navy's Trident or ❑Repair,replacement number of units Indian Island Facilities? 1 ❑Wrecking ❑Mobile Home ❑Moving(relocation) ❑Other—Specify ❑YES KNO ❑Foundation only USE OWNERSHIP .Full-time Residence ®Private(individual,corporation, nonprofit institution,etc.) ❑Second Home: Recreation Cabin,etc. ❑Public(Federal,State or local gov't.) UBC OCCUPANCY GROUP: -`, ❑Second Home: Future conversion to permanent residence COST (Omit cents) Nonresidential— Describe in detail proposed use of buildings,e.g.,food • Cost of improvement $ processing plant,machine shop,laundry building at hospital,elementary To be installed but not included school,secondary school,college,parochial school,parking garage for in the above cost department store,rental office building,office building at industrial plant. a. Electrical If use of existing building is being changed,enter proposed use. b. Plumbing %JO LI V i A 10 gO .23, 0 b . c. Heating,air conditioning '14 LI 0;'75, GA D n R Co b cil d. Other (elevator,etc.) ' ' .vi _t - _ OD 9-' L • TOTAL COST OF IMPROVEMENT $ /• III.SELECTED CHARACTERISTICS OF BUILDING - 1°2°10- U D 35; S 0 O DIMENSIONS PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL •Number of Stories ❑Masonry (wall bearing) El Public or Private •Total square feet of floor area, sWood Frame NI Individual (septic tank,etc.) all floors,based on exterior ^ ❑Structural steel dimensions 1.J',o0 El concrete TYPE OF WATER SUPPLY •Total land area,sq.ft. Goo - ❑Public or private company f' ' CI Other—Specify NUMBER OF OFF-STREET „ - Individual (well,cistern) PARKING SPACES Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE ❑Gas '"t" Out..• = ❑Oil U©o Q S4ove, RESIDENTIAL BUILDINGS ONLY ❑Electricity Number of bedrooms ❑Coal TYPE OF MECHANI f Number of Full r Other—;pacify SOt�r 4. bathrooms Wo •lR Partial IV. IDENTIFICATION- Name Mailing ••Iddress—Number,street,city and State ZIP code Tel.No. 1. _)on •i a t s. _ ownse,,R Q63C8._-V15 Owner t W 1 •i'1 de • 2. oOt!tec' Contractor State License No. 1 3. ©L>vve+r Architect The owner of this building an nder 'gned agree to conform to all applicable laws. Signature of app Address Application date q f3 Sir f Q << 1 r, PLANNING AREA _ FIRE DISTRIC O. CHOOL DISTRICT WATER DISTRICT `3 APPROVED Y JEFFERSON C UNTY HEALTH D Q. I APPROVED BY: P2MIT FEE ISSUE DATE PERMIT NUMBER 1 4.,.,,,,,;a4.;C' Via° OD / a6 1; •`BUILDING OFFICIAL ,nor ,� i.- II • • N • 064C..-Or- t3 w 0 Q F . 1 1 x W x • • 5 , A r. . a v n c. X•w1 417,1M Iv) ear • s 0 re, 7 L . A. In P (v.--------,Th . 39 X; Ll 1�1�9 T,,„,,0„. i �.r ...,, r i ‘. .... "' or, `1)4, , ■ ,..3 .c 1-1 I a1 r■ ti 1 4h.».4 3x1 s i 1 145 .S' O p I. 1 � f ii 6'. 1 Tvi 1 LI 1 1 I I \ L { L— MOM to 1.J J ,ay 9xh u I l. 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