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HomeMy WebLinkAboutBLD1995-00645 a) r 3 0 co o' o v a) D Soo, z , 1 4- 3F oT co ` 9d CD SJ' CD x 9> o adm� N Syr D Z 1,1-f Z CS/ z m --0 o m �'9i m &-z �' "" o 'T7 : 0 D ^ -oty Do r H 'H r m Y A 0 r v 0 m m r 0 o Do I ` -p {o I �.Ni a 5 { StfBACKS m Do z .\ CA • Y K o K O Kcn n� v m m > > II 0) CDm (n m co U) w -0 7 o 0) co co cc) 1-• co d co n ca coo. co- n' II m p' • a°� c0 o �' o T 1. > a a m D n D co > co D < c° 9 II cn o Fn.O o a '' r s ; m.g a ce a a o a y a a a 0 > II 9. N o � m CD 0 o co y �- a ,o• a a * n. O II fD o - a- •ci y -,, a'; r mco,cc, _ y o �+ �� cn CD d y m CDcn m m m n II co z'p Z y m i ^< 3 n o cn a II 3 ° a •• _ ,� 3 �: 3 II co m m p 5• m 3 p m a II —�. '' cp rn 0 a , =; p -Ilico m co co II p n > P. co m (1,1 II n m o o p t 0 Q II m 3 -- O it p °: 0 1iN IIo ti S J o NJ N. �' N II ¢ II ° bcr o o C 111 X 4 v ii 0 3 m Z a C) -- 0 .1 �� it PL �] �' I h. a0 II o. v \ cD II r X ' k m ' 4 0 ii GI mII ICo Z II D II —. 0- Op NO s . s V 0- 73 II ? m II a z St m 3 1 0 0, CA, 11 II rt AI II •V b if E, d ..1 II p \ "� II ,� II '01 C., II II N a 3 0 p i .i . , ) ;' e.• r ' 4, air .. . • , , • 4 r • %/ fli ' HI ii , 4 'CO' Mi)1 4 •g' 40. CI ti . 7)1 i t- ,. 1 . • Ns..d i • r- 2 /. IA -1 4. k �o a 4 • /� ,/ , _ , .. .. . , ,.., . . , %.. .... J . • ' ' 1 i; ').., .1 Li • (i) cl 0 . rt f- ' 4', ut \ ( ::•• ' " : r ,`)4. -...i ., . • �ti w 14\ . VI 0 N 4 8 ', .- \ . . \ %so'''. . ,.!* N\ 1,9 .\ , o • \ 4,0 , 1 I Fi 6, y.5 JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 BUILDING PERMIT APPLICATION PROJECT DESCRIPTION: r,s✓61,6 „'. ?..:,4/;'Y ` . .3/.0L A/C& BUILDING TYPE: PROJECT TYPE: FRAME TYPE: St SINGLE FAMILY El NEW 1 WOOD J GARAGE ATTACHED/nE. �,-A -o ❑ ADDITION ❑ STEEL ❑ MODULAR 0 ALTERATION/REMODEL ❑ CONCRETE ❑ COMMERCIAL 0 REPAIR ❑ MASONRY ❑ MULTI FAMILY/# OF UNITS ❑ DEMOLITION ❑ OTHER ❑ INDUSTRIAL ❑ OTHER BEDROOMS: BATHROOMS: TYPE OF SEWAGE DISPOSAL: EXISTING EXISTING ® SEWER ❑ COMMUNITY SYSTEM PROPOSED '/ PROPOSED V/ ❑ INDIVIDUAL SYSTEM ❑ Conventional TOTAL V TOTAL z/ PERMIT # SEP ❑ Alternative WATER SUPPLY: TYPE OF HEAT: ❑ PRIVATE WELL ❑ ELECTRICITY g OIL laPUBLIC Name of water system: LLI I)L0 w (A)ATE/ ❑ WOODSTOVE El PROPANE ❑ HEAT PUMP ❑ OTHER: SQUARE FOOTAGE: MAIN FLOOR �f998 f iItQ 2ND FLOOR ,�g.� lL/ /r� / FOR OFFICE USE ONLY 3RD FLOOR )C/ J UBC OCCUPANCY GROUP HTD BASEMENT . 7 g* / ' f q UNHTD BASEMENT ) / CARPORT BASE FEE GARAGE f „Z 4,9 / / 69 fj PLAN:CHECK �r7. DECKS / / 9.3 l / q3� STATE SURCHARGE 4.50 COMMERCIAL , � � INDUSTRIAL TDTAe OTHER A4p TOTAL VALUATION RECEIPT #.. Or � C 2 t / ' CASH CK # . 3 7&7 ESTIMATED COST adB�DO©-- � ' DATE:: 1f/ ✓ / cr IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE — ft BANK HEIGHT ft SIGNATURE '' _ ee--.-�-` --`.: �� DATE l// - -5— NAME (PLEASE PRINT) ��,qL/L Da '4l " H:\Home\PIncntr\Forme\Bldapp.Frm 6/95