HomeMy WebLinkAboutBLD1982-00089NE
l. LOCATIONi scographic name
-
SW slDE oF-BoAD
NE
lbc
Block
S W FROM INTERSECTION OF ROAD AND ROAD
FEET
other specific location or landmark
LEGAL DESCRIPT!ON: I
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?
! ygs Etrro
MOBILITYTYPE OF IMPROVEMENT
D New building
D Addition
fl Alteration
BRepair. replacement
! Wrecking
! Moving (relocation)
! Foundation only
D Hotet, Motel, Dormitory
number of units
fl Mobite Home
E Otner - Specify
number of units
vn
BUILDING TYPE
Single Family
Multi.Family
owNFRSHtP'p P.ir"tu (individual, corporation,' nonprofit institution, etc.)
E prUti" (Federal, State or local gov't.)UBC OCCUPANCY GROUP:
USE
Kr,ttnrr,,"
Esecond H
D Second
Recreation Cabin, etc
Future conversion to
idence
res idence
(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 IMPROVEMENTa
cosT
a
king garage for
at industrial plant.
use.
e.9., food
, elementary
TYPE OF SEWAGE
(septic tank, etc.)
D Pubtic o.
nl
DIMENSIONS
rlJumber of Storres . . . . .
. Total square feet of floor
all floors, based on
dimensions......
.Total land area, sq. ft.
PRINCIPAL TYPE OF FRAME
fl Masonry (wall bearing)
QWood Frame
! Structural steel
I Reinforced concrete
III. SELECTED CHARACTERIST!CS OF BUILDING
E Ott'er - Specif y
(well, cisternl
company
TYPE OF WATER
E Pubtic or
I tndivid NUMBER OF OFF.STREET
PARKING SPACES
Enclosed
Outdoors
TYPE OF FIREPLACEPRINCIPAL TYPE OF HEATING FUEL
DGas
xTiYfA".vw
D
X
D Coat
oil
E lect ricity
TYPE OF MECHANICAL
RESIDENTIAL BUILDINGS
Number of bedrooms. . . .
LY
F ullNumber of
bathrooms
IV. IDENTIFICATION
Name Address - Number, street, city and State lP code Tel. No.
0wner
2.
Contracto
3.
Architect
owner of this building and the undersigned agree to conform to all applicable laws.The
Signature of applicant Address icat ion
PLANNING AREA RI SCHOOL DISTRICT WATER ISTRICT-
APPROVED BY
JEFFERSoN CoUNfr HEALTH D
*(Q*_APPROVED BY
NG OFFICIAL
PERMIT FEE
lbb'-'
ISSUE DA
bl tl (84
IT NUMEER
3
r
BU! LDING PERMIT APPLICATION
Jefferson County Building Department . County Courthouse . Port Townsend, Wash.98368
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33
385-1 3t 0
Tu f\lr'"b", 7. Section -- Section RanqeTownshi p
!
AT
department store, rental office building, office
lf lrbuilding is changed, enter
(
Partial......
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