HomeMy WebLinkAboutBLD1989-00460 am=====
BLIJOINGERMIT APPLICATION
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Jefferson County Building Department*P .O . Dox 1220*Po t Townsend, WA 98368
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LOCATION
SPECIFIC LOCATION SITE ADDRESS k"),ctcr3 (7..E, r?8
POSTAL DISTRICT (pi.,;.162,c40 /SUBDIVISION
LEGAL DESCRIPTION LOT BLOCK --
DIVISION TAX NUMBER
PARCEL NUMBER -20/-/ --C)0R 1 / 4 SECTION
PLANNING AREA SECTION Il TOWNSHIP 2.7)/1) NORTH RANGEA / WM
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BUILDING INFORMATION
BUILDING TYPE TYPE OF IMPROVEfIENT St UARE FOOTAGE
q(SINGLE FAMILY 0 NEW BUILDING h N FLOOR 1 0 '15
O MOBILE HOME ((ADDITION ZN ' FLOOR 2, 3 •
O MODULAR HOME 0 ALTERATION BAS ,spT
O DETACHED/ATTACHED erREPAIR CARPO-NT
GARAGE 0 REPLACEMENT GARAGE
O WOODSTOVE 0 WRECKING/DEMOLITION commEnci\L
O MULTI -FAMILY 0 RELOCATION/MOVING INDUSTRIA
NUMBER OF UNITS_ \
MOBILE HOMES
1 0 COMMERCIAL SIZE /04 ,0 a $ 5 /S7_ ,
_ _
0 INDUSTRIAL . - ..,
YEAR '.5(-W1/1 4, $ 16 .
0 HOTEL/MOTEL/DORMITORY
MAKE 0/, $8 NUMBER OF UNITS — ---
O OTHER - SPECIFY @ $8
ESTIMATED COST OF
ImpnovEmEnTs 1 MARKET .
UBC OCCUPANCY GROUP ,.. /) 0 OC' ° V . UE-
SELECTED CHARACTERISTICS OF BUILDING
PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
KfWOOD FRAME ELECTRICITY 0 COLLECTIVE SOLAR
O MANUFACTURED b WOODSTOVE 0 PASSIVE SOLAR
O STRUCTURAL STEEL 0 GAS 0 COAL
O REINFORCED CONCRETE 0 OIL 0 OTHER - SPECIFY
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0 MASONRY ( WALL BEARING )
DIMENSIONS II/0 OTHER - NUMBER OF STO iRIES 3 TOTAL LAND AREA $
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DEPARTMENTAL REVIEW
J i,:s... HEALTH DEFARTMENT TYPE OF SEWAGE D ; SPOSAL NUMBER OF PROPOSED BEDROOMS____
Sr,: Z216" .4:1C-til\ p PUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS
ND I V I DUAL ( sErT IC ) NUML3FJ2 OF PROPOSED BATHROOM 1...,-
APPROVED DA E
_g I N 0 I V I L,0 A I, "!E L L _ NumsER OF EXISTING nal-2._-roorm
PUD TYPE OF WATER SUPPLY
0 PUBLIC ( NAME OF WATER SUPPLY) --
, . . APPROVED DATE b( PRIVATE ( NAME OF "rATER SUR.C.EY
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
0 YES NAME OF ADJACENT WATER BODY
... :2/ .
W NO .,.---.-....
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*APPROVED DATE BANK HEIGNr SETMACK
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. , PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH NAPE OF OF PUBLIC ROAD
NAME OF PRIVATE ROAD
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APPROVED DATE ROAD ACCESS PERMIT REQUIRED DYES 0 NO
IDENTIFICATION
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NAMEJ MAILING ADDRESS 7.; t TEL NO
OWNER \ —...,----7--
2)- 1— -7 L'iqS 1 ,k\t(10kb, lq. c)t, luz(42._ LA-A-- .3_8 7 2A,5-37419
Sfvca _ _CONT
SlAIE L II-C-Z ITITIF-1410- I_
ARCH 1
THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
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SIGNATUR AP L CANT rPPL/I/Iii;I;FicDiTF: RECE1,7 riMBER CH7;y7pE'R OR CASH
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ARP CIVEDBY PERMIT FFES (:)-7
A p pit v -- BASE FEE INSPECTION
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BLDG SURCHARGE PLAN
CHECK
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)s.L144) -ne
.._.....„.*.rn PIANA ENERsy suRci-LARGE $ ,dEFFERs ot
COwy TOTAL
ING ry
sfriLoGaFpi. 9 II NUMBER nE----pur-so-DATE DA E I SS -D
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BUILDING OFFICIAL
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