HomeMy WebLinkAboutBLD1987-00035 BUILDING PERMIT APPLICATION
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Jefferson County Buildinnpartment• County Caurthous(1 •Port Towrillit, Wash.98368 • 385-1310
Zd0•Jb..41,-E N E✓
i. LOCATION: geographic name OW SIDE OF OD�7E S►'(• TT9,4D 2- --.FEET
E
S W FROM INTERSECTION OF 1190041. kT. 1441,4(')AND ' 1 £MJL _Itr7frl4
other specific location or landmark: y (J 1 Q 1Ico r _. \ �.,---_-�_._
LEGAL DESCRIPTION: PI' a32 �I,.a-204LE. J _
Lot Block Subdivision
7C/ tra3 2 -Lo7 S. W. 3f 30A1. t I/.
Tax Number 'A Section Section Township Range
II.TYPE AND COST OF BUILDING -
TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY
❑New building ®Single Family ❑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 ❑Hotel,Motel,Dormitory at either the U.S.Navy's Trident or
number of units �_—_ Indian Island Facilities?
❑Wrecking ❑Mobile Home
❑Moving (relocation) ❑Other—Specify ❑YES [&NO
El Foundation only beacCCIM
USE
OWNERSHIP
Full-time Residence
®Private (individual,corporation,
nonprofit institution,etc.) ElSecond Home: Recreation Cabin,etc.
❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUT ❑Second Home: Future conversion to
permanent residence
COST (Omit cents) v
Nonresidential— Describe in detail proposed use of buildings,e.g.,food
• Cost of improvement $ , ?4 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 If use of existing building is being changed,enter proposed use.
b. Plumbing Al) J� 1 L 3Z) it 1 1 1 2On
c. Heating,air conditioning
- d. Other (elevator,etc.)
• TOTAL COST OF IMPROVEMENT $617660
Ill.SELECTED CHARACTERISTICS OF BUILDING -
DIMENSIONS r
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL '
Masonry (wall bearing) •Number of Stories
❑ ❑Public or Private
•Total square feet of floor area, •
QWood
Frameas Individual (septic tank,etc.) all floors,based on exterior
CI Structural steel — dimensions / /pO
TYPE OF WATER SUPPLY
❑Reinforced concrete •Total land area,sq.ft.
rigPublic or private company l_._/Z)S"00^
❑Other—Specify _ NUMBER OF OFF-STREET
❑Individual (well,cistern) PARKING SPACES
— — • Enclosed "^
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE
❑Gas Outdoors
❑Oil ,r�.2 C RESIDENTIAL BUILDINGS ONLY Z
Electricity — Number of b"-+rooms
❑Coat •TYPE OF MECHANICAL
{JCjpQ Number of 'Full i
Other—Specify
bathrooms
k Partial
IV. IDENTIFICATION-
Name Mailing Address—Number,street,city and State ZIP code Tel.No.
1. ,lam tE,( Li N' 16..! 'a o '.tooet t — 3
Owner /1Iti4.00k, , 114 /O 337
2. O 14/w.2 E.t
Contractor State License No,
3.
Architect
r
The owner of this•building and the undersigned agree to conform to all applicable laws.
Sign ure of applicant Address Application date
...I c,� .��r_.__ yam, frt®o,c ti p , 9�.��p 11' �t 7
P NING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT_
APPROVED BtY� f 0 0104�c� p 0.- Ji -
JEF. J,, ' eV--x. HEALTH DEPARTIvIEt
APP -1 . : PE. w11T FEE ISSUE DATE RECE I PT NUM BE R
�� r 13 b, 00 _
€ tv 3 •s® 1 3 /5
BU 1 L Dpi ' 1O�PT 3 8. SCE
' (� To �,o , i 5 �
The Printery—Port Townsend
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_71-FFFT:RSC7N C:C")T7N'i'Y 74t7T T.T)T NC; Pl~:RMT T
Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PO Rox 1220
Port Townsend, WA 96368
2O6-365-9141
PERMIT # •RT.DR7-0035 DATE ISSUED. : 12/16/67
SITE ADDRESS:420 MOORF. ST
:PORT HADLOCK, WA 98339
OWNER •JAMES PEARSON PHONE: 355-5042
MATLTNC ADDR:420 MOORE STREET
:PORT HADLOCK WA 9R339
CONTRACTOR. . :NO CONTRACTOR PHONE.:
MATLTNG ADDR :
CONTR. LTC #: EXPIRATION DATE:
PARCEL NO. . . :961803-206
T.F.CAT. DESC. . :STR 35-30-01 WWM, TAX #
LOT , RLOCK 32 , TRONDAT,E
DESCRIPTION OF IMPROVEMENT: STNGLE FAMILY ADDTTTON:RF.DROOM
( ) Footing/Sethacks (Shoreline Setback) /Mobile Home Blocking:
( ) Foundation :
( ) Underground Plumbing/underground Insulation :
( ) Framing/Plumbing/Chimney:
( ) Insulation :
( ) Sheetrock:
( ) Sewage Disposal System Final :
( ) Final /Occupancy Approval :
CALL 385-91.41. 24 HOURS TN ADVANCE TO SCHEDULE TNSPECTTONS.
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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