HomeMy WebLinkAboutBLD1984-001351r ROAD
Subdrvrsion
,^ K r{/Lot /
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I. LOCATlON
7
own
LEGAL DESCRIPTION
olher sp*ihc lxatron ot landmark
NE
s w stoE OF FEET
BOAO
, Block. 1/t{
NE
S W FROM INTERSECTION OF
-
ROAD AND
II. TYPE AND COST OF BUILDING
D N",, Counly Resident
ls lhir tlruclure to 'e.ve the residential
or commercial needs of rhose employed
at either rhe U.S. NavY's Trident or
lndran lsland FacililietT
MOBI LITY
E ves F*o
TYPE OF TMPROVEMENT'v
7)** buildins
! Addirion
! Alterarion
! Repair, teplacement
l-l Wrecking
I Moving lrelocationl
! Foundarion onlY
BUlLDING TYPE
[--'l Single Family
T-l Mulri-Family
numbcr of unitt
-
f--l Hotet, Motel. Oormitory
-Uz*e--
fl
&
C-r
number ol units
Mobile Horrr
Other - SPecilY
USE
l--l Frtt-time
D ome: Becreation Cabin. etc.
Horne: Fulure conversion to
p€rmanent residenceUBC OCCUPANCY GROUP:
ov\NE.RSHlP
[j Privare (individual. corporalion.....-
nonprofit institution, erc.l
D Prb,i" (Federal, State or local gor't.l
(Omit cents)
S
Nonresidential-Describeinderailproposeduseofbuildings'e'9''lood
rnachine shop, laundry building at hospital. elemenlary
school, college, parochial school, parking garage lor
rental of f rce building, ollice building at induslrial plant'
2
processing Plant,
school, secondarY
dePartrnenl slore,
is being changed, enter proposed use.It use of existing building
20 72 o3{--5fru .SO
Cost ol improrem€nt.'.' .'.. -
To b instatled but not included
in the above cott
a. Elecrrical.
b. Plunbing.
c. Heating,airconditioning ... - -.
d. Other (elevator. etc.l. . .
TOTAL COST OF IMPROVEMENT
cosT
a
a
IIt. SELECTED CHARACTERISTICS OF BUILDING'
2
TYPE OF SEWAGE OISPOSAL
ublic or Priwle
o Number ol Storres
. Tolal square feet of lloor area,
atl floors, based on extetior
dimensions.. \:.. -.
.Total land area, sq. ft
o
DIMENSIONS
TYPE OF WATEB SUPPLY
E Pubtic or private complanY
S 1"O,ra"r, (well' cisternl
PRINCIPAL TYPE OF FRAME
! Masonry (wall bearing)
@ooa r""*
I Srructural steel
E Reintorced conctete
D Otner - SPecifv NUMBER OF OFF.STREET
PARKING SPACES
Enclosed
OutdoorsTYPE OF FIBEPLACE
TYPE OF MECHANI
BESIDENTTAL AU1 LOINGS ONLY
Nurber of bedroorm
Full. - -
Partial.
Nurnber of
bathrooms
PBlNCIPAL TYPE OF HEAT]NG FUEL
fl Gas
E oit
MEt"ari"itv
Dcoat
E orh", - SPecifY .-
IV. IDENTIFICATION.
Tel. No.ZIP codeSrateandN9treel.cityu rntrrerMarliAddressn9Name
A'JNRD C.
Owner
2.
3.
Arc hi t ect
agree to conform to all aPplicable laws.The owner of this building and the u
Address
tP€)C
Applrcalron datc
$ignature a ppli6nl
oeBUI LDING PERNlIT APPL]CATION
ts'n
Jel{er 'y Euildrng DePartment ' CounlY Courthouse . Port Townsend, Llash.98368 . 385'1310
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FIRE DISTRICT
2a DISTRICT- WATER DISTR
APPBOVED
o-il-J EFF E RSON L,TH
PLANNING AREA
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APPROVED BY:
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