HomeMy WebLinkAboutBLD1987-00367 •
MI N E
I. LOCATION: geographic name S W SIDE Of ' i.r.jAD FEET '
NE
S W FROM INTERSECTION OF ROAD AND ROAD
4 E = 21r 5v. ` 1 Y r J
other specific location or dma � 1.! � ��U ILG L. ST. 1 (�1 @�LDCI`
LEGAL DESCRIPTION: '. 2V 'm 9*z-ry1 g 3�.(zAr•••- tk G o�,.)c, l
Lot Block Subdivision I
98? I0003� I . l (it)
Tax Number %Section Section ownship Range
H.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 or commercial needs of those oyed
❑Alteration
ElHotel,Motel, Dormitory at either the US.Naves'-Yrident or
❑Repair,replacement number o/units
Indian Island Facilities?
❑Wrecking ❑Mobile Harm" C E I V E L.'
❑Moving(relocation) ❑Other Specify FFFE ON COUNT': El NO
•
❑Foundation only
II
USE
OWNERSHIP
❑Full-time R " ce
FJPrivate(individual,corporation,
nonprofit institution,etc.) ❑ d Home:Recreation Cabin,etc. E
❑Public(Federal,State or local gov't.) UBC OCCUPANCY GROUP: `2 3 Second Home:Future conversion to I
permanent residence
COST (Omit cents)
Nonresidential— Describe in detail proposed use of buildings,e.g.,food i.
• Cost of improvement $ processing plant,machine shop,laundry building at hospital,elementary
J 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. i
a. Electrical If use of existing building is being changed,enter proposed use. '
b. Plumbing �v .-a t-k.-o V v>_-
1:1 Ve l' P 3 t jo 1 y 8(., `r
c. Heating,air co itioning -
d. Oth evator,etc) )1` d `^ \-1 Zci 4 llir 1'� n
• AL COST OF IMPROVEMENT $• '.,~�
III.SELECTED CHARACTERISTICS OF BUILDING - z t 11 aB l ..
n��T 1,•
4C'''': PRINCIPAL TYPE OF FRAME PE OF SEWAGE DISPOSAL DIMENSIONS
71
0 Masonry(wall bearing) ❑Public or Private *Number of Stories 2$�,� i
•Total square feet of floor area, E
' Wood Frame (septic tank,etc.) all floors,based on exterior
--e- dimensions 4u I
0 Structural steel `S b
❑Reinforced concrete TYPE OF WATER SUPPLY •Total land area,sq.ft l.IXPublic or private company
❑Other—Specify NUMBER OF OFF-STREET
❑Individual (well,cistern) PARKING SPACES C X` ""l
Enclosed • la-in
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE
❑Gas Outdoors
❑Oil Fr-12Q..s+cancturvcORESIDENTIAL BUILDINGS ONLY
❑Electricity Number of bedrooms ---
''
TYPE OF MECHANICAL
❑Coal Number of Full '�— J
13\0ther—Specify R et-7�U r'Q bathrooms K ''
i-- 2— LJ coo STo Ne ct Partial I E_?k
I
IV. IDENTIFICATION- -
Name Mailing Address—Number,street,city and State ZIP code Tel.No. `'--
1. D�.... P,v�R�.�— \`V2\0 3y`d- r1.�c S .. Sc L = - -
f
Owner c I 5�-2152 Gel
_ .
2. 1-.i v..b•u--•..A"w `.17e CG.' AAt't-� V L ._.' W :.;'i.t, det _ I iA.11 e_.
tate License o. Q 'BOA'�+ rContractor L1-vvi,--�(iJ_3 23 1Z1.'---> ) ` fA - 0�2 -_ 1.1 l
1 S l �I�rt�t�cr.'�eT�.�`�
Architect --
The owner of this building and the undersigned agree to conform to all applicable laws. kF
pp Signature of applicant Address Application date !•
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
APr7°7ok*/ c), 'l( :, .._.-7 -
JEF
HEALTH DEPARTMENT -
APPROVED PERMIT FEE ISSUE DATE RECEIPT BER °-.
f,_ --.7
O_p ...
P ,,
BUILDING OFFICIAL u S uts (0--/ ( •_q
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Thy Pr,n[rrr, — Pot( Tosnscwd TO 1-7/^ �� /o`'c?
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LAUREL
N83°-29-501
-- --- I -iv. vv
STREET —� 176R)_,_
581.2� (58
100.43 '
279.89 �
Co
i 1 '
ro a SO�t
"83 -29-
Fnd.o1c broker
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100.4
2z2`wrAstake 1
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at car. t-riei O.�i
Y
reset w, rebor
and cop 2232ar
IS
sET
?•43'
Ik
SET EacK
B;cK
i
BAS/S OF BEAR/NG
The Lbsis of taring for this surv>°y /s NOIX'501, obv
the Fast //neofGovt Lot 2, sec. /, T29N.,R./K,W.A[,oss&w
on that P/o1 of Porh Boy Pork, cs recorded in Vol 3 of
Plats, on Pg. 26, Records of tfferson County, ;Yc5hington.
LEGAL DESCRIPTION
Lot 28, Portage Boy Pork, as per d'wt Flat recorded/n Vol
3 of Plats, on hit 26, Records of✓efferson Canty, Of7shing-
/a?,beingoFort/onofSec. /,T.29N,R/W.,W.M.
LEGEND
- Fro! Plat coon, / "/. P goporenNy
reset by Is //52o."
■ - Stone n1Cn.
- Fnd as shown.
0-Set iebcr W/cqv 'LS 22323"
Mr, and Mrs. Donald G. Burrell
V16 Cor. t�—
atone man
N89°-50'-50'W
0II
SE?
BACK _
�
EXtsTiqGi
O
6
STEEL
BUIC
28
3
-0
n
M
17
0
z
O
N
v
Vi
0
N
Fnd. reba, w/
coop 91520'
Q~I,
O
Q
52d,
e
I
to
al
O
z
Fnd. rebor w/cap
�PLS 11520; pomf
falls on cul bank
about 120ft 5. of top
o1 bank
Set Feb. w/coa22329;%lt�
Point lath on cut beck �f
about 13.Oft. S. of top ofbonk ��t`,
� Surveyed By
David Cummins
Sequim, Washington
(1317.361R)
April, 1937
PA
0Iz
MC
1 6
4ii4" cone
17 Mon.
2