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BLD1987-00005
N E e I. ...00ATION: geographic name S W SIDE OF *ROAD FEE- NE S W FROM INTERSECTION OF ROAD AND ROAD Mother scific laon or landmark: C N I I_r-t nM P--ca 4 LEGAL DE • PT Block Subdivision L a /-2- 3/ A/. 2- 0 Tax Number %Section Section Township Range II.TYPE AND COST OF BUILDING- 1 TYPE O FIMPROVEMENT BUIL NG TYPE MOBILITY ew building Single Family ❑New County Resident❑Multi-Family Is this structure to serve the residential number of units "+ ❑Alteration or commercial needs of those employed t ❑Repair,replacement 0 Hotel,Motel,Dormitory at either the US.Navy's Trident or number of units Indian Island Facilities? ❑Wrecking 0 Mobile Home ❑Moving(relocation) t ❑Other-Specify ❑YES ONO ❑Foundation only k r. l.' USE I OWNERSHIP " 0 Full-time Residence ❑Private (individual,corporation, nonprofit institution,etc.) j,7` ❑Second Home:Recreation Cabin,etc. ❑Public(Federal,State or local goVt.) UBC OCCUPANCY GBOUP: +`- �S ❑Second Home:Future conversion to permanent residence COST (Omit cents) Nonresidential- Describe in detailproposed use of buildings,e.g.,food • Cost of improvement $ processing plant,machine shop,laundry building at hospital,elementary `, To be insta/led 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. .=- 11 b. Plumbing /$i 9-]2. c. Heating,air conditioning 2.- 9 &yII l-\(j-- /S f' 7y� ` d. Other(elevator,etc.) -ae ewA.s.i^'c- CI-72-4 C b — 7 7 70 • • TOTAL COST OF IMPROVEMENT $ 1-7 5 /7`/n t III.SELECTED CHARACTERISTICS OF BUILDING - / " :if 7 • PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS Z r sonry(wall bearing)tr •Number of Stories ��,(Public or Private •Total square feet of floor area, od Frame Individual (septic tank,etc.) all floors,based on exterior ,-�uctural steel dimensions -.- ``��/ k--'-'t TYPE OF WATER SUPPLY Reinforced concrete •Total land area,sq.ft. 7 r�2 i ❑Other-S O Public or private company o Specify NUMBER OF OFF-STREET Individual (well,cistern) PARKING SPACES Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE Gas Outdoors �0Oil RESIDENTIAL BUILDINGS ONLY yclectricity Number of bedrooms I. +o '"- ti Coal • TYPE OF MECHANICAL Number of Other-Specify Full -Z� t ` ��� bathrooms y N �oy� Partial — . IV. IDENTIFICATION- - , ...A.,.__, Name Mailing Address-Number,street,city and State ZIP code Tel.No. 1. n1oJ ,-- un� I� ,box /as3 j�T , pub$ �3� `Owner ` YS/S Contractor State License No. 4_ 3. GI✓22Ac a -. Architect The owner of this building and the undersigned agree to conform to all applicable laws- I Signature of a n Address �" Application date _ 3-.f-$7 PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT 1i.. - APPROVEDt%Y It 43 h f 3-1 J z f� � '? JEF -• I 7i 7 DDEPARTMENT • Ga• - APPROVED B : ` PERM E ISSUE DATE RECEIPT NUMBER f _ W-1„1- 1 .-E e77 1 0 , OV — 13--67 Co/ 77 „...„., BUILDING OFF!Mill �t� ¢tip'{ , , L/77] OtS,ntery - f'orr TO.tinlcno' D 1. ? !O 3 _(}` 1 / r L/�} �l r l ,II • 1 I-- I ! � 1 — *1 1 - — — 1 II I i {---Y—: —`-- r I ,fr!f-,•41i7=L-= j CVAA________i i — — Q i 1 7 + i 1 { 1 -r- - - - - - I Ir —j ~ _ a I 1 1 —r • i t - I , 1 - f — I - -1- --T— r 1 - - __: t —t� Tom "i— : i 1 I I j t I —Y ' I I . 1— --=— ---�-- I — - iI �_ 1 I i 1 i-i-- - - i 1 I p i — `_l�v\l[ � I I ' ' y( i I 1 ; —. 1 t I i 1 — ; 1 I • 1 N Shy c ty+�" s', ►f L, ,� j r ; —T 1 V _ 8 h/ i d 4. T _ OD 1t , , 10‘ ' r ' G 1 T : I I - 1 , : r ,N#0'' .4 0 1„ I'0 ,, , . , ' � � t :� a i ,, , f7 I • 11 rI I I I�tB dSrvE --- I ,-, ✓; 1 1 1I • t .r k 1 i p i .TT':FFFRSC)TT C:CITTIM1T'T'V 1T7T T.T)T 1W, R1 F TvTT °T Jefferson County Planning and Ruildino Department Courthouse, 3rd Floor PO Box 1220 Port Townsend, WA 98368 206-385-9141 PERMIT # -RT,D87-0005 DATE ISSUED. :03/13/87 SITE ADDRESS : 690 MCMTNN RD :PORT TOWSNF.ND, WA 98368 OWNER - ANDY WHITMAN PHONE : MAILING ADDR_ .`""/' '-- :PORT TOWNSEND WA 98368 CONTRACTOR. . :NO CONTRACTOR PHONE: MAILING ADDR: CONTR. LTC #: EXPIRATION DATE: PARCEL NO. . . :002014005 LEGAL DF.SC . - :STR WM, TAX # LOT , BLOCK , DESCRIPTION OF IMPROVEMENT: single family residence ( ) Footincr/Sethacks (Shoreline Sethack) /Mnhile Home Blocking: ( ) Foundation : ( ) Underground Plumbing/Underground Insulation ( ) - mina20111 Wa 1-1 -5 end OR c--(0- % c�� ,�, __-__.e/ ( IK insulation : ©AC S-3 r- 'l6 4.c.....e eak...47_ ( ' , Sheetrnck: L,% - -2- rl'- QG-, t. ,!c,tom- ( ) Sewage D'i s. ci�s..a.l Syr,..t;em Final : ( 4 1/Oc:c upanc:y_8 a 1 : e0K_///14 (7,--//z-e— Y C) 0 CALL 385-9141 24 HOURS TN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9 a .m. to 5 p.m. inspector ' s Hours 9 - 10 a .m. 24 Hour Recorder for inspections. • • t 1 SHORELINE SETBACK EVALUATION APPL I CANT: fi-Aa — V g nJ ADDRESS: .�© /3 / 0 S--3 -7' TELEPHONE: (home) ? 3a C/5-/5— (business ) PROPERTY DESCR 1 PT 1 ON PROPERTY SITE NUMBER: LEGAL: Owner: Address: ____ ----- ----- -_---- Tax Parcel Number: • ReaL Property Description: Jo-- 1 "' Al \' ,`, sec. , I ' !2. J z 3a N R a (lv ---- ADJACENT WATER BODY: 5-I- v'g [ f• (,t 4.J )e p C p� EVALUATION I BLUFF HEIGHT: C ? 7 O/ -�-.4cL 3 � �� _lDo . SOURCE: I BLUFF STABILITY: " " is � b5� /,{/�� SOURCE: ❑ STANDARD SETBACK: feet This minimum setback shaLL be measured from the ordinary high water mark to the most waterward edge of the proposed structure . BLUFF SETBACK: 1 0 0 feet Cfri i/1/ / This minimum setback shaLL be measured from the bank' s edge to the most waterward edge of the proposed structure . • ° 1 f €-k f- WInVO4l PI(Mrn5IOnS - A te ; I ¢n*n --6 3.0 t ✓ 6 + ravyb op y — Cas�M,„t tt o> 36 i}r %Jax.th. iS b Ia5S per �}--'�__.. Si.ojer ( _ _ 1 L._ i I4. y+, Shower ..1 0d Vryr ryd5�e In `, i — r� 7x7Oil CPI .a x V1 _ , fi ....2/ • ,, 1 Sfa r s 5��,.�,r t.---z • I ..s- ...-i-e,- i 5...s.7 \E.— -- 8 ba S„/ ( •i /6dr --.(---) is i 1_4_1_ , 1 3# fl Ic Xw .,, i . — 4°4-- erukC4,,,. C'Vr<hck l),o►r 1 ity 1 + % W . ,A 'Ii • ~/L 4J j � (JInIv1q -- _ ,ti. x �rrrchch rJcor j 3.0(4-0 V 0. 'I' DN , � '� Cv off" � _.. 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