HomeMy WebLinkAboutBLD1982-00111!
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BU! LDING PERMIT APPLICATION
Jefferson County Building Department o County Courthouse . Port Townsend, Wash.98368 .
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385.1 310
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L LOCATTON: geographic name
-
S W SIDE OF
% Section
ROAD
Lot Block _R(r
Section
NE
S W FROM INTERSECTION OF
other specific l@ation or landmark:
LEGAL DESCRIPTION:ttr
ROAD
FEET
II. TYPE AND COST OF BUILDING (
MOBILITY
E Ne*
E ves Druo
Resident
ls this str
or commercial
at either the
lndian lsland
serve the residential
of those employed
Navy's Trident or
i ties ?
TYPE OF IMPROVEMENTg
fANew buildins
' .l I Addition
! Alteration
_ D Reoair, replacement
f] Wrecking
I Moving (relocation)
! Foundation only
-y)
I Hotel, Motel, Dormitory
BUILDING TYPE
number of units
number of units
[f Mobite Home
$Qther - Specify
E Single Family
D Multi-Family
UBC OCCUPANCY GROUP:
-
OWNERSHIP:Jfl Private (individual, corporation,/ \nonprofit institution, etc.)
E Prbti" (Federal, State or local gov'l.)
Recreation Cabin, etc
Future conversion to
Second
H
residence
USE
fl Frtt-tinre
E
E
(Omit cents)
$Costof improrement.. .. . .. . .
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, machine shop, laundrv building at
school, secondary school, college, parochial school,
department store, rental office building, office build
lf use of existing building is being changed, enter pr1
X
buildings, e.9., food
hospital, elementary
[arking garage for
iing at industrial plant
pposed use.
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III. SELECTED CHARACTERISTICS OF BUILDING -
TYPE OF SEWAGE DISPOSAL
(septic tank, etc.)D
n Public or P
l+bo
DIMENSIONS
.lJumber of Storres ..
. Total square feet of fl
all floors, based on ex
dimensions.
.Total land area, sq. ftj
t..
loot
Iterior
a rea,
tl,$t
PRINCIPAL TYPE OF FRA]I'IE
! Masonry (wall bearing)
Y7lWood Frame/ftrr"tr..t ,r""t
f] Reinforced concrete
E Othe. - Specify
vate company
(well, cistern)
TYPE OF WATER
E
I
Outdoors
NUMBER OF OFF.STRE
PARKING SPACES
Enclosed
ET
TYPE OF FIBEPLACEPRINCIPAL TYPE OF HEATING FUEL
fl G"s
E oit
l-l Electricity
Dcoat
fy
TYPE OF MECHANICAL
I
RESIDENTIAL BUILDII
Number of bedrooms
Number of
bathrooms
lGS ONLY
Full. . . .
Partial..
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IV. IDENTIFICATION 2 >J.a-*;t-Lo , Y1"Affa//ra--
l-\lame Mailing Address - Number, street, city and State ZIP code Tel. No.
Owner Qtn ttrl 7,=1<t tfY)-2.
Contractor -t\ (\l,,Une{State Ltcense No
3.
Archi tect
The owner of this build ed agree to conform to all applicable lawsandlhe
re of Address date
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\rqR'-rrlsrRre+-_FIRE DISTRICT SCHOOL DIST
h
PLANNING AR A
ED
APPROV
NG OFFICIAL
BY PERMIT FEE
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PERMIT NUMBER
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MILGARD MANUFACTURING, INC.
1010 54th AVE UE EAST TACOMA, WASHINGTON 98424 2061922-6030 or 1-800/562-8444a
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