HomeMy WebLinkAboutBLD1984-00129ROAD
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LEGAL DESCRIPTION:-=Ta-
NE$i r *o, r NrE RsEcr ro n or5-hq-lnue.-
l. LOCATION'. seographic name
II. TYPE AND COST OF BUILDING
Resident
to ser\€ the residential
needs of those employed
5. Naw'r Trident or
do
i t ies?
MOBILITY
l-l New Cou
ls this struclu
al eilher the
lndian lsland
D ves
or
TYPE OF IMPROVEMENT
! Wrecking
! Moving (relocationl
fl Foundation only
ld^/Lb/..i,l,"\_
---\Reoai(49!g3@P
I Aoairion
f] Alrerarion
BUILDING TYPE
I Single Family
E Mulli-Family
number of units
[-l Hotel, Motel, Dormitory
number of uni6
MMobile Horne
E Ottre. - Specify
rrsE
M(utt-rime
D Second H
E Second HUBC OCCUPANCY GROUP:
ffPi-r" (individual, corporation,
nonprofit inslirution. etc.l
E Prbtic lFedetal,state or local goy't.l
OWNE RSHIP
(Omit centsl
.Lu,co
Recrealion Cabin. etc.
Fulure conversion to
buildings, e.9., food
hospital, elemenlary
parking garage lor
ing at industrial plant.
noe
me
use
res i de nce
Nonresidential - Describe in detail proposed use
processing plant, rnachine shop, laundry building
school, secondary school, college, parochial
departrnent store, renlal office building, oflice b
lI use of existing building is bEing changed, enter
Cost of impro,rement.. .......
To be installed but not included
in the above cott
a. Elearical.
b- Pluntbing.
c. Heating,air conditioning ......
d. Other (elevator, etc.l. . .
. TOTAL COST OF IMPROVEMENT
cosT
a
III. SELECTED CHARACTERISTICS OF BUILDING .
TYPE OF SEWAGE DISPOSAL '
D Puutic or Private
Ell.dirid,rat (septic rank, etc.l /@
. Number of Sroriet .
oTotal square feet of
all floors. based on
dirnensiont. . . . . . .
. Total land area, rq. fl.
DIMENSIONS
TYPE OF WATER SUPPLY
! Puutic or private oompanY
M/t nairiarrt (welt. cisreml
PRINCIPAL TYPE OF FRAME
l-l Mpsonry (wall bearingl
@,lood Ftare
E Srruclural sleel
l-l Reinf orced concrete
! Ott'er - Specily
Outdoors
NUMBEB OF OFF.STBE
PARKING SPACES
Enclosed
TYPE OF FIREPLACE
RESIDENTIAL BUILDI
Nurrber of bedroorn3
Nunrber of
bat hroorm
TYPE OF MECHANICAL
PRINCIPAL TYPE OF HEATING FUEL
De,"t
Eoit
da,"crr,",r,
El co"t
E Ortt"r - Specily
IV. IDENTIFICATION.
ZIP code Tel. No.Mailing Address - Number.3treet, citY and SlatcNarne
'ii1,1b 7{5-:,15€4ePtu a:13
7t 5-35',j
3.
Archirecl
The owner ol this building and the undersigned agree lo con form to all applicable lam.
ItLt
Add(e3s
i/t' 6tv5 t ,/
L
R DISTBI
RMIT NUMEER
t e
a/
BUI LDING PERMIT APPLTCATION
Jellerson County Building Department o County Courthouse . Port Townsend, Wash. 98368
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PERMIT FEEocSO
oeD't
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385.t 3rO
FEET
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atea,
ONLY
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2.
PLANNING AREA
JEffERSON COUW HALTH
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FIRE DTSTRICT-- SCHOOL DISTRICT
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ISSUE DATE
rc[o,/tuED
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