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Home My WebLink AboutBLD1981-00127IKSCtr BUI LDING PERMIT APPLICATION Jefferson County Building Department . County Courthouse . Port Townsend, Wash.98368 . 385-1310 ! a, ioL oa- I\ o a- o F ROAD NOF ROAD AND DrV Tax Number 7n Section JF Lot B'lecta ]JJ ion Township Range other specific location or landmark LEGAL DESCRIPTION: ROAD FE ET S W FROM INTERSECT NE S W SIDE OFl. LOCATIONi geographic name NE II. TYPE AND COST OF BUILDING 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 E yrs Druo TYPE OF IMPROVEMENT D N"* buildinq D Addition ! Alteration D Repair, replacement I Wrecking fl Moving (relocation) fl Foundation only E Hotel, Motel, Dormitory number of units number of units BUILOING TYPE n Single Family I Multi-Family [l Mobite Home E Other - Specify ! Private (individual, corporation, nonprof it institution, etc.) E Public (Federal, State or local gov't.) OWNERSHIP UBC OCCUPANCY GROUP; X Frttnin," Residence D Second Home: Recreation Cabin, etc. E Second Home: Future conversion to permanent residence USE (Omit cents) $Costof 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 a $ 2,1;llo Nonresidential - Describe in detail proposed use of buildings, e.9.. food processing plant, rnachine 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. III. SELECTED CHARACTERISTICS OF BUILDING -2,b1 b DTMENSIONS o li umber of Storres . Total square feet of floor area, all floors, based on exterior d imensions . .Total land area, sq- ft PRINCIPAL TYPE OF FRAME ! Masonry (wall bearing) ${A/ood Frame f] Structural steel I Reinforced concrete E Ott er - Specify TYPE OF SEWAGE DISPOSAL D lndividual (well, cistern) n Pubtic or Private tank, etc.)fl lndividuat TYPE TER SUPPLY or Private company NUMBER OF OFF-STREET PARKING SPACES Enclosed Outdoors TYPE OF FIREPLACEPRINCIPAL TYPE OF HEATING FUEL D G"t E Otrter - Specify E oit De TYPE OF MECHANICAL RESIDENTIAL BUI LDINGS ONLY Number of bedrooms t I Full.. Part ia I Number of bathrooms IV. lDENTIFICATION Name Mailing ^ddress - Number, street. city and State ZIP code Tel. Noefnen )I I Owner L-lsto 2. Contractor state Ltcense No 3. Architect The building and the ed agree to conform to all applicable laws. FIR E RICT JEFFERSON COUN'l'Y HEALTH 3 L DISTRICT- WATER DISTBI a-"/, APPROV BY PLANNING AREA APPROVED BY ING OFFICIAL PE RfVIIT FEE ;L+q ISSUE DATE q-J-Yt lot0 S PERMIT NUMBER ,t5 ,85 BUI LDING PERMIT APPLICATION crt[ Kq Jefferson County Building Department. County Courthouse . Port Townsend, Wash.98368 . 385-1310 ! o tol- oa- I: o a- o l- FEE \ ROAD ROAD ANOF % Section e RA BlockLot on I a-D other specific location or landmark LEGAL DESCRIPTIOI\I S W FROM INTERSE vision NE S W SIDE OF , FEET ROAD l. LOCATIONi seographic name NE II. TYPE AND COST OF BUILDING E N"* 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 E ves M"o TYPE OF IMPROVEMENT',p.tl"w buildins'n Addition ! Alteration E Repair, replacement fl Wrecking I Moving (relocation) I Foundation only n Hotel, Motel, Dormitory BUILDING TYPE number of units E Ottrer - Specify d E Single Family fl Multi-Family . number of units Mobile Home usF z X Futtnin " Residence E Second Home: Recreation Cabin, etc. f] Second Home: Future conversion to permanent residenceUBC OCCUPANCY GROUP owNFRSHTP \fi Prir"t" (individual, corporatron,'\ nonprofil institution, etc.) f] Prutic (Federal. State or local gov't.) (Omit cents)Nonresidential - Describe in detail proposed use of buildings, e.9., food processing plant, rnachine 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. x5 lf use of existing building is being changed, enter proposed use Costof improvement.. .. . .. . . To be installed but not included in the above cost a. Electrical. b. Plumbing. c. Heating,airconditroning ...... d. Other (elevator, etc.). . . . TOTAL COST OF IMPROVEMENT cosT a TYPE OF SEWAGE DISPOSAL [] eubtic or Private rg.L\ X lndividual (septic tan BqL/ la, tg) DIMENSIONS . fJumber of Stories o Total square feet of floor area all floors, based on exterior dimensions. .Total land area, sq. ft Y TYPE OF WATER SUPPLY VProti. or private company 6-t na i rio rrJ-Gil, "i.,",n ) PRINCIPAL TYPE OF FRAI\'IE ! Masonry (wall bearing) fl Wood Frame V{structural steel ! Reinforced concrete III. SELECTED CHARACTERISTICS OF BUILDING . E Ottrer - Specify -/------\ I NUMBER OF OFF.STREET PARKING SPACES Enclosed Outdoors TYPE OF FIREPLACE RESIOENTIAL BUI LDINGS ONLY Number of bedrooms l I Full.. Part ial Number of bathrooms PRINCIPAL TYPE OF HEATING FUEL D c"t E Otner - Specify D ( D oit E lect r icity Coal IV. lDENTIFICATION. ZIP code Tel. No.i ressName )FWN) 4.5t0Owner 1 lFrrL+l 3BSW-t3s-/+ @,444 4{YBI 2. Contractor 3. Archi tect The owner of this building and the undersigned agree to conform to all applicable laws. Application date 57 191O1 Address( STRICT WATER DISTRICT-5PLANNING AREA FI RE {-\-s- APPROVED BY ISSUE DATE s/?ler ry1 PERMIT NUMBER 4, BUILDING OFFICIAL /,22. APPROVED BY PE RM d) TYPE OF MECHANICAL a \ \^\ ?)iwt :JY .O .e1 17 . lo e 46 k' i x., , `� VV oo� b a coo or �/ 01 0 -14 -e cow, f% l J r } Y n