HomeMy WebLinkAboutBLD1984-00130b e
BUI LDING PERMIT APPLICATION
Jefferson CountY Euilding Department . County Courthouse . Port Townsend, Wash.98368 385.13t 0
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other speci{ic t*ation or unamarr: 177? 6W &b ' ?o '
ROAD
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l. LOCATIONi geographic name
bwnstri
LEGAL DESCBIPTION
BOAD
FEET
NE
S W SIDE OF
NE
SW FROM INTERSECTION OF_..-- ROAD AND
t1. TYPE AND COST OF BUILDING
D Yes Eruo
of those employed
lndran lsland F
ls this struclu
MOBILITY
fl N"*Resident
to serve the residential
Navy's Trident or
iliries?
or commercial
at erther the U
TYPE OF IMPROVEMENT
X*"* buildrns
' D Add,t'on
D Wreck ing
E*"
! Alterati
! Moving (relocation)
fl Foundation only
BUILDTNG TYPE
psinsre FamitY
E Mulri-Family
number of units
-
E Horet, Motel, Dormitory
number of units
I Mobite Horne
E Ortre, - Specify
Recreation Cabin, etc
F uture conversion to
USE
Yr,,,-,,,."
residenc?
E Second
! SecondUBC OCCUPANCY GROUP: 83.
Private (individual. corporation
nonprofit institution, etc.l
" f] Prutic (Federal, State or local gov't.l
OWNERSHIP
ts
(Omit cents)Nonresidential - Describe in detail proposed use of
processing plant, rnachine shop, laundry building at
school, secondary school, college, parochtal school,
department store, rental office building, office b
lf use of existing building is beang changed, enler use
ildings, e.9., food
pital, elementary
al induslrial plant
ing garage forCost of improvern€nl.. .. . .. . .
To b installed but not included
in the above cost
a. Electrical.
b. Plunbing.
c. Heating,airconditioning ......
d. Other (elevator, etc.). . .
TOTAL COST OF IMPROVEMENT
COST
tII. SELECTED CHARACTERISTICS OF BUI LDING -
2-TYPE OF SEWAGE DISPOSAL
! eubtic or Private
X,
DIMENSIONS
o Number of Stories
. Total square feet of tloor area,
all floors, based on e
dimensions...... -
oTotal land area, sq. ft.TYPE OF WATER SUPPLY
D Pubtic or private company
ndividual (well, cistern)
PRINCIPAL TYPE OF FRAME
I MasonrY (wall bearing]
$wo- r"tt*
fi Structural steel
f] Reinforced concrete
E Otn". - Specify NUMBER OF OFF-STRE
PARKING SPACES
Enclosed
OutdoorsTYPE OF FIREPLACE
te naryPVE:.RESIOENTIAL BUILOING
Number of bedrooms. .
ONLY
Number of
bathrooms
TYPE OF MECHANICAL
PRINCIPAL TYPE OF HEATTNG FUEL
D G".
D oit
t(etearicitv-Ecoat
D Othe. - SPecifY
IV. IDENTIFICATION.
ZIP code Tel. NoMailing Address - Number. street, city and StateName
olruner
se
2.
3.
Architect
rhis building and the undersigned agree to conform to all applicable lawsThe owner
Ar3 &u*
dateAddress
"4
nt
R DISTRICT
-
WATSCHOOL
Ihs
APPROVED
OK
J RSON
LFIRE D|STRICT
elehrvrt t4p
PLANNING AREA
ISSUE DATEvw
. PE]RMIT NUMBER
J t"q
APP
BUILDING OFFICIAL
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