Loading...
HomeMy WebLinkAboutBLD1979-00022 B ' DING PERMIT APPLICATION 72 2.9 . Jefferson County Building Dep t• County Courthouse •Port Townsend,W368 • 385-1310 NE I. LOCATION: geographic name S W SIDE OF • j ROAD FEET NE S W FR M NT RSECTION OF R(7 AD AND ROAD other specific locatio or landmark: ■ ' I -.L+ r LEGAL DESCRIPTION:!/ C.» ( -TrX1 7 t\I 'ac c `c .�NarN Lot *-1:1157r Sub ivision c:24V __R!efe— g_2_UJ-- Tax Number '/e Section Section Township Range II.TYPE AND COST OF BUILDING- BOA) TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY 'New building '- .Single Family ❑New County Resident ❑Addition ❑Multi-Family Is this structure to serve the residerCial number of units ❑Alteration or commercial needs of those employed ❑Hotel,Motel,Dormitory at either the U.S.Navy's Trident or ❑Repair,replacement number of units Indian Island Facilities? ❑Wrecking 0 Mobile Home ❑Moving(relocation) ❑Other-Specify ❑YES ❑NO ❑Foundation only USE OWNERSHIP ❑Full-time Residence APrivate (individual,corporation, ry,, nonprofit institution,etc.) ' econd'Home: Recreation Cabin,etc. ❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: R-3 ❑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 Z:.\`11 Ann. 1- ges, = la,-[Y`)Q c. Heating,air conditioning CP.ra Ann '/ 9 2, 7 0© d; Other (elevator,etc.) • TOTAL COST OF IMPROVEMENT $ 75900 / `z?Oa III.SELECTED CHARACTERISTICS OF BUILDING - PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS l 11 Masonry (wall bearin 1 •Number of Stories ` ` Z �(AT g ❑Public or Private •Total square feet of floor area, 7:J-Wood Frame Individual (seotic tank,etc.) all floors,based on exterior ❑Structural steel x` dimensions TYPE OF WATER SUPPLY •Total land area,sq.ft. f©)( ' Z-:- --❑Reinforced concrete G.c'� Public or private company ❑Other-Specify NUMBER OF OFF-STREET 0 Individual (well,cistern) PARKING SPACES toX`VT- Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE ❑Gas _ Outdoors ❑Oil C e� 51-a‘( RESIDENTIAL BUILDINGS ONLY titElectricity 56`tn'G, Number of bedrooms ❑Coal TYPE OF MECHANICAL \ Number of Full ,.other-Specify " 00 bathrooms y� . j Partial IV. IDENTIFICATION- // v V0 3 5-m' /44.k.i N er. 9 r, Name Mailing Address-Number,street,city and State ZIP code Tel.No. 1. la,ceg©y y 9 . a ,r 1.)e. it 3 6/ Owner m a Lct° a tkk e— 9 •33 / 5-7/7 2. . S -Cr Contractor State License No. I _ / 1 �. C JJ 3. Architect • The owner of this building and the undersigned agree to conform to all applicable laws. Signature of applicant Address Application date PLANNING AREA FIRE DISTRICT V SCHOOL DISTRICT 5-0 WATER DISTRICT APPROVED BY OK CDe•C "WO• %,l-/lo OLYMPIC HEALTH DISI IC� „ � - APPROVED BY: PERMIT FEE ISSUE DATE PERMIT NUMBER 7...QP° - it- i ? - * 7 DING OFFICIAL ,� __A„, , g-e The Printery-Port Townsend .q J p 4 1 c 7 -2-7 34— ,. tri S -cc I �sio- y G w�,` hL WI- C),ill P :2i.„ Co It--(1-0 c:N-1,...e,,...A,, A e40 -2,) , -0 , 1 ::., , 4 u CA)/r•4 o.3� . 1� �'a v o"r. s s ratio be c_e. �. r — . Xt\C. �am 1x`� �r:.•c.+� C7 Ci 2) R ' e"k Or f., c l (L\CsetA, � F-� f � c"�.1 m C; I 001t. /S a WTt. +D 1 A,NCAr bur4. e\C'' 1) (Yg7C1 ')‘'."-6 \,0)),4%(! (•j"( 3) 4‘"(Lt. La "tk, 4C' '9 cJ1=tom, a pc.+0.01 C 1A) \--\ec,,e,--rAk ..... t.--o 14:(VRet..AS 1 .,).-c.- 4-11 \40., \a' ■t-k. ' .':::1)..i,...,..- ' (---e, t c1,0 C.)". •S' 5"."4--C1'.1C 'Rtc...(■4 --\•-••• \Oc_. \-eSS '-jit. .T 00, ti3 6 tt tl .... S'',..A......, w_e Is -AtTa. CA.ASC. -.\--, s.--1---vN. \\,......___ ),. - Cwwa jzes L� \;;;,e, , t-kit.,citv r \-2,_c...... O 1� � �e►c�G.. p )--c Ac.0"t-•\4 ti►S -- 0 A_ J"\A d(1 d RQ l.)\-k L. C. V.C.... C( -0-C- C-7\-tiv J-41 ., '- ..):-/ \ ne t )--t- s'.4•-4-o - e ..... .?star t ! t S,h+-e. L. e e c.^ ,o ' ‘,J‘.4J 1-lS' rrts n \\'')\, y2... j\AIL fL flJ` aya �/bu.,1A`T 4Ns. S-k-..40 o0 IL. `....■ /tom d. V/1/65 ,/ZiC■!' Z2i-/• -)a.. '�/1. r- C,0 /Cva - 6° y 7?--9S- y 6- 6 „mac.Kr/,''L-to/Zec: (.'— --6i. k `a 4/_/7 �D a G..J J u 1-trey s-'7�'Mr 7ALA j�.�M f 0kh4/ //24/616 - Pay, der-al.c. -.., �