HomeMy WebLinkAboutBLD1981-00130ROAD
FEET
NE
l. LOCATION i sEogtaphic name
-
S@ SIDE OF
-
ROAD
NE
ROAD AND
Block -lvSectionx
SW FROM I NTE RSECT NOF
LEGAL DESCRIPTION:
other specific l@ation or landmark:
II. TYPE AND COST OF BUILDING
MOBILITY
E New County
ls this structure
or commercial
at either the U.S.
lndian lsland
[] ves
serve the residential
of those employed
Navy's Trident or
ftiuo
ident
it ies ?
TYPE OF IMPROVEMENT
fi*"* buildins
D Addition
! Alteration
E Repair, replacement
! Wrecking
I Moving (relocation)
! Foundation only
BUILDING TYPE
Xsinsle Family
E Mulri-Family
number of units
f] Hotel, Motel, Dormitory
number of units
[l Mobite Home
E Other - Specify
residence
Recreation Cabin, etc
Future conversion to
flrutrtime
USE
perma
E Second
D SecondUBC OCCUPANCY GROUP:
Private (individual, corporation,
nonprolit institution, etc.)
D Pubti" (Federal, State or local gov't.)
rOWNERSHIP
(Omit cents)ldings, e.9., food
ipital, elementary
at industrial plant
use
ng garage for
Nonresidential - Describe in detail proposed use of
processing plant, machine shop, laundry building at
school, secondary school, college, parochial school,
department store, rental office building, office bui
lf use of existing building is being changed, enter
\Y
Cost of rmprovement.. .. . .. . .
To be installed but not included
in the above cost
a. Electrical.
b. Plurrbing.
c. Heating,airconditioning ......
d. Other (elevator,etc.)....... ..
TOTAL COST OF IMPROVEMENT
cosr
a
a
III. SELECTED CHARACTERISTICS OF BUILDING -
TYPE OF SEWAGE DISPOSAL
tr Pubtic or Private
'(tndiridrat {septrc tank, erc.)/-
DIMENSIONS
olJumber of Storres . . . . .
. Total square feet of floor
all floors, based on
dimensions......
.Total land area, sq. ftTYPE OF WATER SUPPLY
,EP ub I i c or gljrg1aco mpa nv
fl lndividual (well, cistern)
PRINCIPAL TYPE OF FRAIVIE
! MasonrY (wall bearing)
Fwood Frame
E Structural steel
! Reinforced concrete
E Other - Specify
Outdoors
NUMBER OF OFF.STREET
PARKING SPACES
Enclosed
TYPE OF FIREPLACE
o
TYPE OF MECHANICALbrccd at r- igyl fyli/ { loc,r f,Utru
RESIDENTIAL AUILDINGS
Number of bedrooms. . .
Ful INumber of
bathrooms
PRINCIPAL TYPE OF HEATING FUEL
fl G",
D ott
E otner - Specify
xE
Electricity
Coal
IV. IDENTIFICATION.
ZIP code Tel. NoMailing Address - Number, street, city and State
Owner
2
Cont
3.
Architect
The owner of this building and the undersigned agree to conform to all applicable laws
dateAddress
DISTRICT-
IT NUMBERPERMIT FEE
@
ISSUE DATE
::),,*4
APPROVED BY
BUILDING OFFICIAL
BUI LDING PERMIT APPLICATION
Jefferson County Building Department . County Courthouse . Port Townsend, Wash.98368 .
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