HomeMy WebLinkAboutBLD1980-00180I
r e r r e r so n c o u n ty B u i t d i n s"jY,l}? : :ffiTi]r::: :'rTtJ,"J,,, {, o. s I s 6 I . 3 8 s. t 3 t 0
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APPROVED BY
BUI
PERMIT FEE PERMIT NUMBER
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ROAD
ROAD AND
Llo r-r.o,(^rL DESCRIPTION:
aa*,
Section Townshi
II. TYPE AND COST OF BUILDING.
Lot
other specific location or landmark
5on:c *{
u)D<on
n
Block
S W FROM INTERSECTION OF ROAD
FEET
NE
S W SIDE OF
Subdiffi;
27N
l. LOCATION: geosraphic name
NE
E Ne* 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?
MOBILITY
n Yes nruo
TYPE OF !MPROVEMENT
$ r"* buildins
! Addition
l-l Alteration
D Repair, replacement
! Wrecking
! Moving (relocation)
! Foundation only
E Hotel, Motel, Dormitory
BUILDING TYPE
number of units
number of units
@insle Familv
E Multi-Family
! Mobile Horne
n Otner - Specify
OWNERSHTP
A Priuur" (individual, corporation,' nonprofit institution, etc.)
f] Pubtic (Federal, State or local gov't.l uBc occuPArucv cnoup:B:,3-
USE
D4Full-time Besidence
D Second Home: Recreation Cabin, etc.
E Second Home: Future conversion to
permanent residence
(Omit cents)
b. Costof improvement............
To be installed but not included
in the above cost
a. Electrical.
b. Plumbing.
c. Heating,airconditioninS ......
d. Other (elevator, etc.l. . .
. TOTAL COST OF IMPROVEMENT
cosT
$2|-ztr\
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 office building, office building at industrial plant.
lf use of existing building is being changed, enter proposed use.
YT\a.'..n TL c>
4o a -r 432
III. SELECTED CHARACTER!STICS OF BUILDING .
\YzTYPE OF SEWAGE DISPOSAL
p,Public or lrivate ? -lQc\"y
E lndividual (septic tank, etc.)
((27 2-
DIMENSIONS
o Number of Stories
. Total square feet of floor area,
all floors, based on exterior
dimensions.
.Total land area,sq. ft.,.. . .,5fr
PRINCIPAL TYPE OF FRAME
l--l Masonry (wall bearing)
FWooa Frame Lc>G
! Structural steel
! Reinforced concrete
E Otner - Specify
TYPE OF WATER SUPPLY
E Pubtic or private company
IEtlndividual (well, cistern )
Outdoors
TYPE OF FIREPLACE
tDC6\ f,:p.se--
3
I
PRINCIPAL TYPE OF HEATING FUEL
EGas
E oit
D Electricity
n coat
@Otter - Specify
TYPE OF MECHANICAL
RESIDENTIAL BUI LDINGS ONLY
Number of bedrooms
Full, .
Partial
Number of
bathrooms
IV. IDENTIFICATION.
Name Mailing Address - Number, street, city and State ZIP code Tel. No
{it, a.n P,o, $o]- [ 6.i.\ce\^€-V6r-1
Owner 6esSew 3{3L
6et/ I
2.
Contractor State License No.
6?no -3.
Architect fi\eSec K
The owner of this building and the undersigned agree to conform to all applicable laws.
x"'m;;x'F&u,D /-2q-KO
Application dateAddress
PLANNING AREA 2-WATER DISTRICT-DISTRICT SCHOOL DISTRICT
OLYMPIC HEALTH DISTRICT:
APPROVED BY
DATE
V
OFFICIAL 76.
'orv - Port Townsend
36o
l.
K tu)
Range
NUMBER OF OFFSTREET
PARKING SPACES
Enclosed
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