HomeMy WebLinkAboutBLD1987-00007r - ., .
1110 N E a
I. LOCATION: geographic name SW SIDE OF LOAD FEET
S W FROM INTERSECTION OF _ROAD AND 6 "-'C bOo r i—a/KcLROAD
4 J
other specific location or landmark:
LEGAL( EGAL D SfrION: VT—
/ Lot Block Subdivision
•Cd �� � ) If )
ax Number Y.Section Sect' n —Township Range
II.TYPE AND COST OF BUILDING-
TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY •
❑New building 0 Single Family 0 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 0 Hotel,Motel, Dormitory at either the US_Navy's Trident or
number of units Indian Island Facilities? .
Wrecking ❑Mobile Home
0 Moving(relocation) Other—Specify 0 YES ONO
❑Foundation only ,
- 9--
. USE
OWNERSHIP 0 Full-time Residence
❑Private(individual,corporation, ❑Second Home:Recreation Cabin,etc.
nonprofit institution,etc.)
❑Public(Federal,State or local gov't.) UBC OCCUPANCY GROUP:Al—/ 0 Second Home:Future conversion to F
permanent residence iP
COST (Omit cents) Nonresidential— Describe in detail ro p posed 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 r-
in the above cost department store,rental office building,office building at industrial plant. i>
a. Electrical If use of existing building is being changed,enter proposed use.
b. Plumbing ( ) Y S @ /0 ( D
c. Heating,air conditioning / R
d. Other(elevator,etc.)•
1
• TOTAL COST OF IMPROVEMENT $
III.SELECTED CHARACTERISTICS OF BUILDING -
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS
Masonry(wall bearing) D Public or Private *Number of Stories ` ;_
•Total square feet of floor area,
Wood Frame 0 Individual (septi Rank,etc.) all floors,based on exterior "
0 tructural steel dimensions
p Reinforced concrete
TYPE OF ER SUPPLY •Total land area,sq.ft. ; .
ublic or private company •
❑Other—Specify NUMBER OF OFF-STREET
0 Individual (well,cistern) PARKING SPACES
< Enclosed
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE
Gas Outdoors
--
❑Oil / / RESIDENTIAL BUILDINGS ONLY
❑Electricity - Number of bedrooms
Coal TYP F MECHANICAL
/ Number of Futl
//
❑Ot r—Specify bathrooms y •
. Partial
--
IV. IDENTIFICATION-
Name Mailing Address—Number,street,city and State ZIP code_ Tel.No.
•
1. f I1.L.- H NC ' < C0 ) L cam_ ---- , 1_:
Owner /
0J�
2.
Contractor State License No.
a fr..,
Architect
The owner of this building and the undersigned agree to conform to all applicable laws.
Signature of applicant Address Application date '
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---- 7.4 c___ A i J . ,,,,,,s2._ q___/ -6-7
PLANNING AREA FIRE DISTRICT 1170SCHOOL DISTRICT WATER DISTRICT f
APPROVED BY
JEFFERSON COUNTY TH DEPARTMENT -
4PPROV D PERMIT FEE ISSUE DATE RECEIPT NUMBER
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3UILDINGOFFICtA . t
— i R .
/ IT e Pr;r,t ry — Parr To„nsrnd /
To PO
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.T'F1"W1 1 5 C)TV' C7:C)TTN'9 'Sr F tTT T.r T TZCI; 1 FR1'vTT °T-
Jefferson County Planning and Ru i l d i nn Department
Courthouse, 3rd Floor
PO Rox 1220
Port Townsend, WA 98368
2O6-385-9141
PERMIT # .RT,DR7-0007 DATE ISSUED. - O4/21 /n7
SITE ADDRESS - 86 ROTTRRON N
PORT TOWNSEND, WA 98368
OWNER •MVRT, HANCOCK PHONE- 385-0975
MATT,TNC; ADDR : 5S6i BOURBON LANE
: PORT TOWNSEND WA 983868
CONTRACTOR. . :NO CONTRACTOR PHONE
MATT,TNC ADDR
CONTR. TIC #: EXPIRATION DATE
PARCET, NO . . . : 001252003
T,E(;AT, DESC. . : STR 28-30-0 1 WW'M, TAX #
LOT , 'BLOCK
DESCRIPTION OW IMPROVEMENT- storage
( ) Footing/Setharks (Shoreline Sethack) /Mnhiie Home Rinckincr-
( ) Foundation :
( ) Underground Piumhincr/Underground Tnsuiatinn
( ) Framing/Plumhincr/C:himney•
( ) Insulation :
( ) Sheetrock.
( ) Sewage Disposal System rFinai
( ) Final /Occupancy Ann ova 005
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.
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