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HomeMy WebLinkAboutBLD1988-00350 BUILDING PERMIT APPL'CATION Jefferson County Building Department• County Courthouse •Port Townsend,Wash.98368 • 385-9141 L`N E j I. LOCATION: geographic name S W SIDE OF 4. _ROAD r i40 FEET,,., N E AR y S W FROM INTERSECTION OF ///161-/VIA/V lieAD AND other specific location or landmark: LEGAL DESCRIPTION: ,mil / +.4,&77Y fi/I} r� .e Lot Block ubdivision 9 6'- ..r6 n—as/ 2/ 4/ /5' /4 c<-t/1 _ Tax Number Y+Section Section Township Range II. TYPE AND COST OF BUILDING - TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY J New building ❑Single Family ❑New County Resident ❑Addition L]Multi-Family Is this structure to serve the residential ❑Alteration number of units or commercial needs of those employed Repair,replacement U Hotel,Motel, Dormitory at either tha U.S.Navy's Trident or number of units Indian Island Facilities? ❑Wrecking ❑Mobile Home Moving (relocation) Other—Specify 3 [DYES .I NO ❑Foundation only USE OWNERSHIP L O Cri\kLc \ usC ❑Full-time Residence PA Private (individual,corporation, ` nonprofit institution,etc.) �J Second Home: Recreation Cabin,etc. CI Public Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: ❑Second Home: Future conversion to permanent residence t -' COST (Omit cents) Nonresidential— Describe in detail proposed use of buildings,e.g.,food $ 7/yQ \a t • Cost of improvement 6 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 32 re mac' If use of existing building is being changed,enter proposed use. II`") b. Plumbing .1 -ee re .,94". ..- T" .A A0 trt r' r'tf/'.t•'' i:"i"J-,;',re!"AA A. kS� c. Heating,air conditioning ,L 4ne,ee 'o�,ff°,, '� ` .�"l ',�,�C in A77 NAL L/✓ d. Other (elevator,etc.) �---.. ( (rO lf'-e,ce, VA,(►,4 J/rheerir', /1!) • TOTAL COST OF IMPROVEMENT $ 8z 8a t� III.SELECTED CHARACTERISTICS OF BUILDING - PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS — []Masonry (wall bearing) 0 Public or Private •Number of Stories 2 •Total square feet of floor area, ix Wood Frame ❑Individual (septic tank,etc.) all floors,based on exterior []Structural steel dimensions 27d 6 TYPE OF WATER SUPPLY •Total land area,sq.ft. `w2 ❑Reinforced concrete , , /® 7u Q J Public or private company❑Other—Specify NUMBER OF OFF-STREET f t, ❑Individual (well,cistern) PARKING SPACES Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE r. ❑Gas 0`re. EA 174 Outdoors ‘•74 ❑Oil /t'/'I FAej RESIDENTIAL BUILDINGS ONLY (A Electricity Number of bedrooms 41 ^^ Cl Coal TYPE OF MECHANICAL ❑Other—Specify it-C!Tf'/e /`'CO. Number of Full. ..'.. S/ bathrooms — Partial IV. IDENTIFICATION- • Name Mailing Address—Number,street,city and State ZIP code Tel.No. 1. p6 /51 L2IeWeSS-. 64, /t. Pocif "Aa"/t-- k ior,,,es//-1 ilf/?Eoti, 9fg3(,S 17/4e/ Owner / 2. P4/93f,SO J/ i e f{( ' ,(7.. de f1 o/ 1�/; .�, '� ) f ANr9-r 2 e,' ',,e> r?l x J .? 6 a 3- $(,.�7.24,,i'f Contractor Sate License No. /fso,h n b* J23139 3. ,2 i1 Li.)EEK6 7333 t.v#E A1-on/ wAi f3ff''C ref ERThni 9 .3/ -/r Q Architect The owner of his building and the undersigned agree to conform to all applicable laws. (ThA Sign re of appli Address Appation ate C7 771)?'"t PLANN G AREAL4111fr'. FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVED BY JEFFER_ J Y HEALTH DEPARTMENT APPROVE Y: iP MIT FEE I SUE DATE RECEIPT NUMBER J 'l` 1986 5-51-6 i7V -JEFFER f 3`t 5 , Y.S 1440"N S©N;Of}ton s O O PUl1_11f rL s4: 7, • • • Zoo J';f PA-;`?A Ci 1 I ,t Ay ; 't'' ' L o T,5/ 5'g,'%/TA/ 9A y ON, " . _ , r../...s'L'.c; A- /-//rri/z AA/13 DR/vim= - . :.__#3 7--. ./47.0' A c cT tr 99i-- SOD- OS! _ SEC . N p9 041 • �, �Cr4Lf /- ZO z z' zo 8 8; p - _ Eck S: < /l0 /6' ro_ z760 ,� ,�STo9 T - 4 (:: n n FF_EL. O f'.Z.S i - DEC K s' /6' , i 1 L - ,N f f'i9i7/Y/4/ — ! 1 i ( 1 4REA -- — T,El.__ cv E 4-f---A 0-'—`•- C .UM+rER Al _ _ _ ws t 00 it 80 ' -- ce ' rd `i 4/ 8 -5" c-r-t2bc,„ Map CZ)CC. 4146. ?4•41.00(2. 1 /1'1 19( 87 „...11-000-141 ss 11,/