Loading...
HomeMy WebLinkAboutBLD1988-00332 BUILDING PERMIT APPLICATION Jefferson County 8uildinspartment• County Cyrthouse • Port Towns Wash.98368 • 385-9141 N E I. LOCATION: geographic name S W SIDE OF ROAD � FEET N E W /( -7�� �X�/� S FROM INTERSECTION OF ROAD AND l(./ ROAD other specific location or landmark: Jembst.___ _ LEGAL DESCRIPTION: ____ Lot Block Sub ivis. n Ic15—C /e u L'7©J Tax Number %Section ecti n ' Township Range II. TYPE AND COST OF BUILDING - , TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY ❑New building ❑Single Family ❑New County Resident ❑Addition ❑Multi-Family Is this structure to serve the residential number of units ❑Alteration or commercial needs of those employed ❑Repair,replacement ❑Hotel,Motel, Dormitory at either the U.S.Navy's Trident or number of units Indian Island Facilities? ❑Wrecking ❑Mobile Home ❑Moving (relocation) , E Other-Specify ❑YES ❑NO ❑Foundation only 2e , , ,- re+, OWNERSHIP USE ❑Full-time Residence ❑Private (individual,corporation, nonprofit institution,etc.) ❑Second Home: Recreation Cabin,etc. ❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: ❑Second Home: Future conversion to permanent residence COST (Omit cents) Nonresidential- Describe in detail proposed use of buildings,e.g.,food • Cost of improvement $ processing plant,machine shop,laundry building at hospital,elementary To be installed but not included school,secondary school,college,parochial school,parking garage for in the above cost department store,rental office building,office building at industrial plant. a. Electrical If use of existing building is being changed,enter proposed use. b. Plumbing c. Heating,air conditioning d. Other (elevator,etc.) • TOTAL COST OF IMPROVEMENT $ /c/O III.SELECTED CHARACTERISTICS OF BUILDING - f PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS ❑Masonry (wall bearing) •Number of Stories '+. ❑Public or Private i ••Total square feet,ofii)oor area, Wood Frame ❑Individual (septic tank,etc.) all floors,beset on exterior 4' dimensis ❑Structural steel \', .$ TYPE OF WATER SUPPLY ❑Reinforced concrete •.-6tal land area,sq.ft. ❑Public or private company *,,. ❑Other-Specify NUMBER OF OFF-STREET ❑Individual (well,cistern) PARKING SPACES (°$:•.. Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE ❑GasZ Outdoors "'%� i CI oil RESIDENTIAL BUILD�G`S ONLY ❑ElectricityNumber of bedro s � TYPE OF MECHANICAL ❑Coal , ❑pt- er-Specify Number,pf" Full bathrooms �� Partial IV. IDENTIFICATION - • Name Mailing Address-Number,stree city d State ZIP code Tel.No. j Y` C2 a,/g Owner .-B-4; - --4-- , 2. Contractor State License No. 3. Architect The ow r of this building and the undersigned agree to conform to all applicable laws. ignat re f applicant Address 7i0& ,Kiii1/41 .((l PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVED BY JEFFERSON COUNTY HEALTH DEPARTMENT APPROVED BY: PRMIT.,s€.EE ISS E DAT,E RECEIPT NUMBER 35 (.0 cy.2 BUILDING OFFICIAL v i The Printery-Port Townsend . .