HomeMy WebLinkAboutBLD1978-00169SW FROM INTERSECTION OF- ROAD AND ROAD
ROAD
Block
Tax Number 7r Section Township Range
4
Lot
Section
p 2- l\t
23
FEET
other specific location or landmark
LEGAL DESCRIPTION
NE
S W SIDE OF
--S[bd'rvisi,cn/G 2-r
l. LOCAT| ON: geographic name
NE
!I. TYPE AND COST OF BUILDING .
MOBILITY
E New County Resident
ls this structure to serve the residential
or commercial needs of those employed
at either the U.S. Navy's Trident or
lndian lsland Facilities?
E ves ,K*o
TYPE OF IMPROVEMENT
ffi ruew building
E Addition
l-l Alteration
E Repair, replacement
I Wrecking
! Moving (relocation)
l-l Foundation only
E Single Family
n Multi-Family
number of units
E Hotel, Motel, Dormitory
number of units
I Mobile Home
E Ottrer - Specify
BUlLDING TYPE
UBC OCCUPANCY GROUP:-
)y'rutt-time Residence
D Second Home: Recreation Cabin, etc.
Dsecond Home: Future conversion to
permanent residence
USE
OWNERSHIP
,ftfrivate lindividual, corporation,/ - nonprofit institution, etc.)
E Pub.tic (Federal, Stare or local gov't.)
(Omit cen*)
$
A/tnY
s -Fao a
Nonrosidential - Describe in detail proposed use of buildings, e.9., food
processing plant, machine shop, laundry building at hospital, elementary
school, secondary school, college, parochial school, parking garage for
department store, rental oflice building, office building at industrial plant
lf use of existing building is being changed, enter proposed use.
. Cost of improvement., ... .. . ,
To be installed but not included
in the above cost
a. Electrical.
b. Plumbing.
c. Heating,airconditioning,...,,
d. Other (elevator,etc.)...
. TOTAL COST OF IMPROVEMENT
cosT
III. SELECTED CHARACTERISTICS OF BUILDING .
TYPE OF SEWAGE DISFOSAL
E Pubtic or Private
E tnaiviarat (septic tank, etc.)Q<\\\rrl-r\2r/v3a
C >.rr'
OIMENSIONS
o Number of Stories
o Total square feet of floor area,
all floors, based on exterior
d i mensi ons .
.Total land area, sq. ftTYPE OF WATER SUPPLY
! euutic or private company
E lndividual (well, cistern)
PRINCIPAL TYPE OF FRAME
! Masonry (wall bearing)
DilWood Frame
! Structural steel
D Abct.Reinforced concrete
fl Other - Specify NUMBER OF OFF.STREET
PARKING SPACES
Enclosed
Outdoors
TYPE OF FIREPLACEPRINCIPAL TYPE OF HEATING FUEL
E Gr.
E oit
E ottrer - Specify l4aa
,f,Erc"rri"ir"E Coat TYPE OF MECHANICAL
Fo*r, Z,/t
RESIDENTIAL BUI LDINGS ONLY
Number of bedrooms
Full..
Partial
Number of
bathrooms I
IV. !DENTIFICATION
Name Mailing Address - Number, street, city and State ZIP code Tel. No
? I 1t.<'s 7264-4;.fr* P,eZossE/v'1
Owner fr n, /,/t\/n ^t //1, ,ffi-J ff.,_,[,2.
Contractor
I
--D nrYx, tt,.t.r, /,r--State License No
3.
Architect
The owner of this building and the undersigned agree to conform to all applicable laws.
irgnrrfufl
\"a /a3
Address
/o
Application date
BUI LDING PERMIT APPLICAT!ON t 287
Jefferan County Building Department. County Courthouse . Port Townsend,Wash.98368 . 385-1310
HOOL DISTRICT
-
WATER DISTRIPLANNING AREA DISTBICT
Lq-ss-OLYMPIC HEALTH DISTRI
APPROVED BY
PERMIT FEE
a$'=r",l oa
^\.
ISSUE DAiE (
ta/,/>t 237r
PE-HMIT NUMBER'APPROVED BY
NG OFFICIAL
The Printery - Port Townsend
4{
'6'\/0>t Hsn e.,r tl,>"o<lo t --+
tQ.,'
.q
'>l lv.grl
GI'e
-l"V fV? ? \d )''vt A1 Q
z 'qo
JrV>)-
A
"s
toa
J
-+
/sq
11/I
l-.t_
,b 10
1Vl
t'
+
-t+
Ift?z o aI
' ?5:l'{ }lI
o
'S:>G
n
Ate..
9