HomeMy WebLinkAboutBLD1985-00043 THIS BUILDING IS
NOT FINALED .
THIS IS AN INCOMPLETE
BUILDING APPLICATION . THE
PERMIT WAS NEVER ISSUED.
f 0 BUILDIw PERMIT APPLICATIONS
Jefferson County Building Department • County Courthouse • Port Townsend, !Lash 95368 • 385-1310
NE Si E�OF ROAD FEE
I. LOCATION: peoyraphrt name S W _
N E ROAD AND rd� I — `�� '%AD
SW FROM INTERSECTION OF ��
r L_
other specific location or landmark .� .��
���
LEGAL DESCRIPTION: �' . _ ��
Subdivision 0.---)
Lot Block
Tax Number '/.Section Section Township Range
II.TYPE AND COST OF BUILDING '
TYPE OF IMPROVEMENT
BUILDING TYPE MOBILITY
0-New building
D Single Family ❑New C• my Resident
0 Multi-Family Is this s ucture to serve the residential
Addition number of units or co mercial needs of those employed
0 Alteration O Hotel,Motel,Dormitory at e her the US.Navy's Trident or
0 Repair,replacement number of units I •ian Island Facilities?
0 Wrecking ❑Mobile Home
0 Moving(relocation) (,Other —Specify ❑YES 0NO
0 Foundation only
USE
OWNERSHIP ❑Full-time Residence
— 0 Private (individual,corporation, _ ❑Second Home: Recreation Cabin,etc.
nonprofit institution,etc.) ❑Second Home: Future conversion to
❑Public(Federal,State or local goVt.) UBC OCCUPANCY GROUP: permanent residence _
COST (Omit cents) N nresidenti I— •-scribe m detail proposed use of buildings,e.g.,food
• Cost of improvement $ rocessing an ,machine shop,laundry building at hospital,elementary
To be installed but not included - school,secon,ary school,college,parochial school,parking garage for
in the above cost department tore,rental office building,office building at industrial plant.
use of e sting-building is being changed,enter proposed use
a. Electrical !�`. � ��� j � Yl 1
b. Plumbing A (14../, r `— f�jil' (�J
i nin (X '
c. Heating,air condit o g
d. Other (elevator,etc.) -� � V
• TOTAL COST OF IMPROVEMENT $ /,
G
1 TICSOFB•ILDI G - /�(°%
RACTER S
III.SELECTED CHARACTERISTICS � e ) �
� DIMENSIONS
YP' OF ` W• E DISPOSAL 1: '?P L TYPE OF FRAME •Number of Stori
PRINFRAME A
0 Masonry (wall bearing) ❑P •Iic •. • -•ate , •Total square feet of floor area,
all floors,based on exterior
®Wood Frame % div'•ual (septic tank,etc.) dimensions
0 Structural steel
TY; • WATER SUPPLY an ••Total land area,sq.ft.
Reinforced concrete IN •ublic • • wale company
(]Other Specify NUMBER OF OFF-STREET
rili Individual (well,cistern) PARKING SPACES
Enclosed .
PRINCIPAL TYPE 0 HEATING FUE YPE OF FIREPLACE Outd••
❑Gas
P
❑Oil
/-)Z() /� RESIDENTIAL BUILDINGS ONLY
Number of bedrooms..
D Electricity .
TYPE OF MECHANICAL
• ❑Coal Full
/ ' Number of
❑Other—Specify/ 7 / bathroou- Partial
IV. IDENTIFICATION- ZIP code Tel.No.
Name Mailing Address—Number,street,city and State ,
P%/�/JN-'�° '
1. IILI' sr' /1/l/ �lIr�� VI�_�� /
Owner / J
2 State License No.
Contractor
3.
Architect
The o r of this building and the undersigned agree to conform to all applicable laws.
i. e of app Address Ap Iicaon date
hmnt f //)-
. ,
t.
1
C4 a„.....e fr .73,-,E •LANNING AREA FIRE DISTRICT ( SCHOOL DISTRICT WATER DISTRICT
I. APPROVED BY
C JEFFERSON GouNtY HEAL OED PERMIT NUMBER
O. RMIT F E ISSUE DATE
1 APPROVED BY: ,di. a,-
> ./ice. � '
• c
ro
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a - �Ir///f/,
BUILDING OFFICIAL ' •
. .A0 QD \JO-A0 52221----:
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