HomeMy WebLinkAboutBLD1986-00040 4
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.Jrflrj.on Count,- B.r•idrng Department • County Courthouse • Port Townsend. es,' . • -
N E - -ors 7310
I. LOCATION. p•ap•anh,t •.•+.e S W SIDE OF ROAD _t E E T
NE
S W FROM INTL RS(CTION OF , ` ROAD AND ROAD
other sorer/it/oration or ranomar• �6, W a ,,,, Col-,QT. — P/
LEGAL DESCRIPTION: �j Fr. 1--1.0e2.Blocs Suu ton
q Q �ju17 00 . t2 13 NCI( �/ �fls7
9 • Ta• Number, .Section Section lownsnio Range
II.TYPE AND COST OF BUILDING
TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY
�
XNew building l�Single Family New County Resident
0 Addition 0 Multi-Family Is this structure to serve the residential
number of units
0 Alteration or commercial needs of those employed
0 Hotel,Motel, Dormitory at either the US Navy•s Trident or
0 Repair,replacement number of units Indian Island Facilities,
0 Wrecking 0 Mobile Home
0 Moving (relocation) 0 Other —Specify 0 YES ❑NO
0 Foundation only
USE
OWNERSHIP Full-time Residence
D Private (individual,corporation, _ 0 Second Home. Recreation Cabin,etc.
nonprofit institution,etc.)
0 Public (Federal,State or loos gov't.) UBC OCCUPANCY GROUP: R.3 . 0 Second Home Future conversion to
Permanent residence ,
COST (Omit cents) Nonresidential— Describe in detail
proposed use of buildings,e.g-food
• Cost of improvement S processing plant, machine shop,laundry building at hospital,elementary
To be installed but not meluded school,secondary school,college, parochial school,parking naraoe 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 proposedd use.
b. Plumbing �I 15X) 52,..
°
' 1dtkJ Ft,cacal� .
c. Heating,air conditioning c \\ 570 `�' ® / Z x710
d. Other (elevator,etc.) 0...e.......7.,)
• TOTAL COST OF IMPROVEMENT S I^..kC-E-y°e_S • - . 65/22-0
III.SELECTED CHARACTERISTICS OF BUILDING -
PRINCIPAL TYPE OF FRAME PE OF EWAGE DISPOSAL DIMENSIONS
•Number of Stories ?'
0 Masonry (wall bearing) ►A Pu• is or Private SQJ-.9[-�
ft�� •Total square feet of floor area,
(Wood Frame 0 Individual (septic tank,etc.) all floors,based on exterior
Structural steel dimensions 309
E 0 WATER SUPPLY •Total land area,sq_ft.
O Reinforced concrete
W. - .lic or private company
O Other—Specify NUMBER OF OFF-STREET
Individual (well,cistern) PARKING SPACES
Enclosed -2--
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE
0 Gas Outdoors
0Oil RESIDENTIAL BUILDINGS ONLY
gElearicity r,..\ . Number of bedrooms (/
. TYPE OF MECHANICAL
0Coal Full 2
0 OgC7m1� Number of
Other— Specify (A bathrooms
)tom a.41,pi Partial i
IV. IDENTIFICATION-
Name Mailing Address— Number,street,city and State ZIP code Tel.No.
3 —
Owner "4". -TO l ,T7 . [ r3 L
2. �1✓1--L . �T�+1Li� .
Contractor State License No.
•
3.
Architect
The owner of this building and the undersigned agree to conform to all applicable laws.
S..nature - app % t / 7 Address Application date
a y
■ PLANNING AREA q FIRE ISTRIC - • •L DISTRICT WATER DISTRICT
O APPROVED BY L. t-- \
I APPROVE s/• �Ps" 4407 PERMIT FEE ISSUE DATE PERMIT NUMBER
.MAY 2 8 U,.-.-:T 11110,
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