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HomeMy WebLinkAboutBLD1987-00015 r. E 4TION: proyraph;c name __ S W SIDE OF _ ROAD FEET NE ? S W FROM INTERSECTION OF ROAD AND i I ROAD other spa the location or landmark: `\-n`E 36 Sick 7 _7 LEGAL DESCRIPTION: Lot Block Subdivision (90' -073 0i4 7 -c.,r`t I66 Tax,Number Y.Section Section Township Range II.TYPE AND COST OF BUILDING• TYPE IMPROVEMENT BUILDING TYPE PUBLIC WORKS APPROVAL building ( i^gle Family f ❑Addition ❑' number of units Multi-Family Road ACC@SS Permit No. l ❑Alteration ❑Hotel,Motel, Dormitory Utility Permit No. ❑Repair,replacement number of units . ❑Wrecking 0 Mobile Home Emergency Servi No. Moving(relocation) cgrOther-Specify Street Wid A: ❑Foundation only B: Addi Oral Permits Required: OWNERSHIP ❑Private(individual,corporation, nonprofit institution,etc.) ❑Public (Federal,State or local go✓t.) UBC OCCUPANCY GBOUP: /' -3 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 II use of existing building is being changed,enter proposed use. b. Plumbing MA l r-a 1-1-04w- 880 O @ 3'5.- 3�8." r Co Heating,air conditioning L,4-'(- ! U `/y t`� d. Other(elevator,etc.) $e l-sgsz_8 80 6 o 7, o y e, • (-zyo TOTAL COST OF IMPROVEMENTS �— -In. SELECTED CHARACTERISTICS OF BUILDING - 4 1 DIMENSIONS `' PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL •Number of Stories 0 Masonry (wall bearing) 0 Public or Private •Total square feet of floor area, ^� cad Frame 1.-'aq 'individual (septic tank,etc.) all floors,based on exterior I 22 v dimensions Structural steel TYPE OF WATER SUPPLY eTotal land area,sq.ft S it i Reinforced concrete 0 Public or private company Other-Specify • NUMBER OF OFF-STREET I individual (well,cistern) PARKING SPACES (( `� Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE • • O Gas Outdoors ... 0 Oil RESIDENTIAL BUILDINGS ONLY Z Number of bedrooms Electricity ',iii+e3a.,.,,,, TYPE MECHANICAL Coal Number of {Full ... Z- • O Other-Specify C -iS'So‘ez bathrooms f f IV. IDENTIFICATION __ " Name Mailing Address-Number,street,city and State ZIP code Tel.No. 1. W\l-L.•b v✓. 1 1-it:01 ` - a.^—eems-c E-Ja..- g 3 l B/b 1Y. „_2-Wer•- • Owner c/ae e.� � ) c, Ct,.,�t � --- i. r Contractor State License No. 577 `'1C/c( il '��— tam _ _ J . 3 Architect The owner of this building and the undersigned agree to conform to all applicable laws. Aridness Application Signature o'•j/jca^/��i2C Eil//{�1t i�2�� - . PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVED BY APPROVED '3Y APPROVED BY b (ci 8-7 DE JEF -Th , SI-IOP.E.L 1 NE DEPT. PLANNING DEPT. APPROVED PERMIT FEE ISSUE DATE RECEIPT NUMBER 1\..Y: •,.. i Su 01.-;--38L2-c.°:: (0 -Z 3 -- --/ ' 9) c..;--- 0 3 c , ......,... . ' . )--? Sss c i Sti BUILDING OFFICIAL `�^•..._) •opwss:, 1elr 1'1?-2 .: 61 5- i.nrrry — /',>,r ro.+nsrnd _TFP:'F'W r.T C)TT C;C)T7T rlfW F,TTT T.r)T TTC-1 "PTP. F TvTT `T' Jefferson County Planning and Building Department Courthouse, 3rd Floor PC) Box 1220 Port Townsend, WA 96366 206-355-9141 PERMIT # •RLT)57-001 5 DATE TSSTTED. :O6/23/SS7 SITE AT)T)RESS : 330 GALT.OWAY LANE. :RRTNNON. WA 96320 OWNER •WTT.T,TAM DRAKE PHONE : MATLTNC ADT)R : 2424 COAT, CREEK : T.ONCVTEW WA 96632 CONTRACTOR . . :NO CONTRACTOR PHONE : MATLTNC AT)T)R: CONTR. LTC #: EXPTRATTON DATE: PARCEL NO. . . : fi01 07301 4 LF.GAT, DF.SC. . : STR 07-26-01 WWM, TAX # T.OT , BLOCK DESCRIPTION OF IMPROVEMENT: single family residence ( ) Footing/Setbacks (Shoreline Setback) /Mohile Home Blocking: ( ) Foundation : ( ) Underground Plumbing/Underground Tnsuiation : ( ) Framing/Plumhing/Chimney: ( ) Insulation : ( ) Sheetrock: ( ) Sewage Disposal System Final : ( ) Final /Occupancy Annroval • CALL 365-9141 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. _ ,.. .. ..... eii..------- • 1 , _ , , , 1 , 11th , .,_ '...,a,..-- i. , ‘ - F _1144k I m ..1 4 . 16t tga r I •. ml , it, -Iz •24e,,,e q Ls , )k 1 i), r••1 S •°. 6/k, / 4 , ,Y r ,r,) , 171 / ,:t. ste 47/-4- - , ‘ I , 8 _____......._ , 0 r , 1 C-% i, # - ----- - - .,...-.....----,, _ i 1-1-1 - i i '''A 1 Fl- 1 i 4 - , 1 s ______ il 1 .. , i •,,, k 6N IC) 1 v __ __ ‘ O. I - i t* I i i `C I------; - , ---'.4 ,--------- I 37 7 !:,:„.---i 1 --, I 1 : ..0 ---, •'.' -------- <—z,.____._.....N,..e k i-`-1.-a -4----..c r-- 1 .1.v: '4'V.,.1'.''' 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