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Home My WebLink AboutBLD1987-00041 BUILDING PLFhMIT APPLICA i ION Jefferson County 8uild.epartment• County Courthouse • Port Tollid, Wash.98368 • 385-1310 NE I. LOCATION: geographic name S W SIDE OF ROAD FEET N E G7� M S W FROM INTERSECTION OF ROAD AND 7 1 l n flon±-in I rat I ROAD '� other specific location or landmark: C2> LEGAL DESCRIPTION: y m� i ,-.�i 1�-et c...f- 37 c3/ C�1 r )(Tic�� C�► ' (Pa rce l * Lot Block /(0 Subdivision 98 1 go l 49( 8 Tax Number Y.Section Section i `` Township Range II.TYPE AND COST OF BUILDING - ` , TYXle E OF IMPROVEMENT BUILDING TYPE MOBILITY New building ❑Sing Family -� ❑New County Resident ()r., ❑Addition ❑Multi-Family Is this structure to serve the residential �� ❑Alteration number of units or commercial needs of those employed ❑Repair,replacement ❑Hotel,Motel,Dormitory at either the US.Navy's Trident or number of units Indian Island Facilities? ❑Wrecking 0 Mobile Home ❑Moving (relocation) -Specify DYES ❑NO ❑Foundation only _MOCI,u La r - Via) OWNERSHIP Go r USE ❑Private (individual,corporation, ❑Full-time Residence nonprofit institution,etc.) IDSecond Home: Recreation Cabin,etc. ❑Public (Federal,State or local goVt.) UBC OCCUPANCY GROUP: fL`--: " ❑Second Home: Future conversion to permanent residence 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 If use' ffof existing/ building is being being,changed,enter proposedro /\ use. ' I t A/� 7^ / b. Plumbing H`'i X .G,to I, 1 LI `1 T 10 " I I) `I `Tv T 1 V c. Heating,air conditioning d. Other (elevator,etc.) • TOTAL COST OF IMPROVEMENT $ III.SELECTED CHARACTERISTICS OF BUILDING - PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS ElMasonry (wall bearing) El Public or Private new •Number of Stories 1 ❑Wood Frame •Total square feet of oor area, Individu (septic tank etc.) all floors,based on exterior ❑Structural steel dimensions ❑Reinforced concrete TYPE OF WATER SUPPLY •Total land area,sq.ft. Other-Specify ❑Public or private company NUMBEYYla no-Pa cto r e d Individu (well, istern) PARKING OFSPACES OFF-STREET / \ SCE PRINCIPAL TYPE OF HEATING FUEL Enclosed TYPE OF FIREPLACE ❑Gas Outdoors ❑Oil RESIDENTIAL BUILDINGS ONLY ' lectricity Number of bedrooms /❑Coal TYPE OF MECHANICAL ❑Other-Specify Number of Full bathrooms • Partial IV. IDENTIFICATION- ' • Name (� Mailing\ Address-Number,street,city and State ZIP code Tel.JNo. Owner1. i)`.�/� I tt�r- D. h• 4 (0.� / (c')_W I t ) f o Pa,1 I le, 981 lJ (,0 )p .rr eS S. 63ra olaki 7 Co�n -\0—'- Sta7License No. t1 1 ( R!' ( � 98 12V do 3. Architect The owner of this building and the undersigned agree to conform to all applicable laws. Signature of applicant Address Application date PLANNING AREA `_FIRM DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVED BY j JC 3 ( e^ es / dal JEFFERSDN coUNI'y HEALTH DEPARTMENT / z iL 7 - APPROVED r- PERMIT FEE ISSUE DATE RECEIPT NUMBER 135 . 00 BUILDING OFFICIAL 1 LI to .,6 O The Printery-Port Townsend F /0 r- / _2 j tr' G/ 7 ..o Ite. • �C tA(exi4 APPROVED FEB 2 0 C- o,x Countyi R r- 03 /C)3/e' - 8 6° (1 2 ( ?-) -eJ OVA_ Co 0 P1706)- 3�31 �7 se ) © iG i.'A-c c-.ti- (..c.uu- CS lC 1 /65/2:7/g2 -17-(CD CS lC e 2-1-2-Y/ E? r 1 if 14c� Ito ~ — — — — — b 0 e 1 IWo r-+ ( St I aye\ )' I Ira 1 Q��,�� {I S I 1 1 ' 0 °d-t/r .., 111 :t. i. ...... g- -- , i 7 7 • 1 i .., . 41 • ., to ,_.3" . ...... E . 0 .." r• • — - . 0 • ,•,., M rb el ((Ay_ 6. i tt IAIr 1 r-- .. ra• • f 41 II ,r . . L i m 4= 0 , m 5, 0 . . 0 C Oa 0 rx] \ BATH o I . ---- I I \ _., r A .. .>_ 9 3:1 Z m 7; ys.0 - ... . z .. , 4 0 .I 33 X CC i-) Mill r n 0 0 Sn RI C E----\i [011 . M 2 Z 0 1" -4 _ . i' ..e --g81-—— —...f.j 1 ammo -1 41* 1 h F °o i,• 0 Il:0 o :: tC --_-- _ BATH , .,,Ammni-------) I 0 r4 Iri a _ .:. _,• M 2 ...... 'C' ' .... MEN iiii .- ..I , ,........... vr, . .....1 > r- K 2 ii. ce . --F, ci 11‘4S . - 11:001 :. . 1 — —-- __ ___ • — ____/._ _ .