HomeMy WebLinkAboutBLD1982-00110ROAD
ROAD AND
93
Block
% Section
Lot _3
Section
(o Aod o
s w FRoM TNTERSECTION
NE
S W SIDE OFl. LOCATIONi geographic name
NE
other specific location or landmark
LEGAL DESCRTPTTON:
II. TYPE AND COST OF BUILDING
MOBILITY
ENewC
ls this structure
or commercial
at either the U
lndian lsland
E yes
serve the residential
of those employed
Navy's Trident or
lit ies ?
Etrto
Resident
TYPE OF IMPROVEMENT
pr.r"* buirdins
L-l Addition
I Alteration
I Repair, replacement
I Wrecking
f] Moving (relocation)
! Foundation only
E Hotel, Motel, Dormitory
number of uni*
number of units
BUILDING TYPE
['Sinste Famity
jMutti-Famtty
[l Mobite Home
E Otner - Specify
owNFRSHtP
flP.lu"t" (individual, corporation,
nonprof it institution, etc.)
n Pubtic (Federal, State or local gov't.)UBC OCCUPANCY GROUP;
USE .
Fdf utt-t;nre
D Second
ff Second
Recreation Cabin, etc.
Future conversion to
residence
lOmit 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
Nonresidential - Describe in detail proposed use of
processing plant, mach!ne 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 use
ildings, e.9., food
at industrial plant.
ing garage for
, elementary
b a
BUtLDtNG PERMIT APPLICATION
Jefferson County Building Department . County Courthouse . Port Townsend, Wash.98368
TYPE OF SEWAGE DISPOSAL
Ei;: t::" :;" ::[r*,f
", "
DIMENSIONS
.liumber of Storres . .
.Total square feet of f
all floors, based on exter
dimensions.
.Total land area, sq. ft
III. SELECTED CHARACTERISTICS OF BUILDING -
PRINCIPAL TYPE OF FRAME
! Masonry (wall bearing)
f,(h,ood Fr"."
EStructural steel
Reinforced concrete
- Specifv
TYPE OF WATER SUPPLY
fl Puotic or private company
.R lndividual.(well. cistern )
Outdoors
NUMBER OF OFF.STREET
PARKING SPACES
Enclosed
TYPE OF FIREPLACEOF HEATING FUEL
TYPE OF MECHANICAL
RESIDENTIAL BUILDINGS
Number of bedrooms. . .
FNumber of
bathrooms
PRINCIPAL
D G"t
D oit
! Et""tri"ity
E coat
IV. IDENTIFICATION.
ZIP codeName Tel. No
Owner
3.
Archi tect
to conform to all applicable laws.The owner of this building and the undersigned
Application dateAddress
3
DISTRI
DBY
LDING OFFICIAL
!L.
\
,?'2:?
385-t 3t0
'l Url"+
\
(
.:
\t
1st
i.cs
!
PLANNING AREA
!
s
ioL
oa-
I\
o
a-
n-ktttt"l&'3[z
FIRE DIST
r$
T FEE
lx UM
rq
ROAD
FEET
as>
A
,
Partial......
lTnin
ir/\(BI
,l
lltln Ott
fii\rn ?. A32.
Contractor (\ ., 'n/; -(
a Zof
APPROV
OL
DATE
r^ Ll
PERMITNUM-BER
rcT
i
Filed for the record at the request of:
Jefferson County
County CourthousePort Townsend, Washington 98368
When recorded, return to:
Curt Marlow
75O Somerville Road
Chimacum WA 98325
DE8CRIPTION OF REAIJ PROPERIY AFFECTED!
Somerville in Section 03, TownshLp 29 North,
Parcel Number 995 2oo 015
Dared rhis yfu^"
.I,
J f.
G t
lqlPi..
?
No\I I s l99l
t(
v0i-354 'r*,3'lg
34si4Q
NOTICE TO TITLE
: . j..,
fu?'ar..r: i,jij I
P/a\
i jl:i",'i-l;.
ji:
li
il t_j
/tt,+.,
i:
ar'
,
,lli I3' irS
: ,, --, ,l il; y
. ; ; ,',Lii:iit:l
. ....-_.-" Iii l ir i I
9DS, and theNOTICE I8 EEREBY GIVEN To Curt Marlow, his heirs and ass
general public.
Block 23 of
Range 1 West,
the PIat of
m,I
STRUCTURE TYPE IM/OLVED: Single Family Residence
ADDRE88 OF STRUCTURET 75o Somerville Rd., Chimacum
NOTICE I8 EEREBY GMN THAT Due to the f ailure to necessary
departmentcorrections noted in the course of inspections, the build
will not and cannot attest that the construction was consis ent with the
requirements of the 1988 Uniform Building Code and RCW 19 27.
of \\.tlav,Lr-"-1991.
V-
Cra gw D rector
Jefferson C ty Planning and Buildi Departnent
Acknowledgement
Subscribed and sworn to before me is /?+
day of 91.L tL
Notary publ
residing in for the State o Washington,
Washington.
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