HomeMy WebLinkAboutBLD1999-00785 •
Jeffw'soo County Permit Center r Department of Community Development
(411* ,N coe„ 621 Sheridan Street,Port Townsend WA 083681360)370-4450
r rmt Call en
TIMBERTON LOT 56
Project Description: New Single Family Residence W/Attached Garage
Building Type: Project Type: Frame Type:
X Single Family X New X Wood
Z Garage Attached/Detached Addition ❑ Steel
Modular 0 Alteration/Remodel 0 Concrete
5 Commercial 0 Repair ❑ Masonry
Multi-family/# of Units ❑ Demolition 0 Other
0 Industrial
0 Other:
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: XX Sewer 0 Community System X Electricity 0 Oil
Proposed 2 Proposed 2 ❑ Individual System ❑ Woodstove ❑ Propane
Total: 2 Total: 2 If not sewer,fill out the following: 0 Heat Pump
❑ Conventional 0 Alternative ❑ Other
Permit # SEP
Water Supply:
Private well 0 Two Party Well XX Public:Name of water system:Olympic Water & Sewer, Inc.
Square Footage: For Office Use Only
Main Floor 1520 q 3 32-(p UBC OCCUPANCY GROUP
'MD Floor Base fee GI I 6•
3rd Floor Plan Check fee oa-i S . °3
Htd Basement State Surcharge fee 4 . SI)
Unhtd Basement Subtotal 119(P • --"
Garage/Carport 537 53�1 b Pot Water Review fee .1-7 •a-0
Decks 911/Rd Approach fee LIC1 .°
Commercial TOTAL 1 2 12. 1.- .
Industrial Receipt # 2° 2 6).S
Other Cash/Check # Z
Total Valuation: Initials \IL `Or �� �I ^ Date I '•7iy-cG
)
Y�
Estimated Cost: (0
If within 200' of the Shoreline,
Distance to Bank or h Water Mark ft. Bank Height ft.
Signature: _ �� 'IV
� 1(% Date: 11/23/99
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