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BLD1987-00389
0_ I. LOCATION: proQ►aphicn,me S W SIDE OF ROAD [� FEET S W FROM INTERSECTION OF ROAD AND I I I -�.f7 rhock/Left) 1 L-n c.- ROAD other specific location or landmark P 1,--: l_k_ 1 f Dd _ PO (�LEGAL Q SC ION: Lot Block 3 ul'rsyn(� V\ i / q9'g4©Oc�IC� l� Tax Number Y.Section Section Township Range II.TYPE AND COST OF BUILDING- TYPE OF IMPROVEMENT BUILDING TYPE PUBLIC WORKS APPROVAL ❑New building 0 Single Family LL T._,,��A 0 Multi-Family number of units Lddition Road Access Permit No. � ❑Alteration Hotel,Motel,Dormitory 0 Utility Permit No. Repair,replacement number of units Wrecking 0 Mobile Home Emergency Services No. Moving(relocation) gather—Specify Street Width A: ❑Foundation only 3:-{-Orr)rtKV 0 E cs. B: eJ N . Additional Permits Required: CO OWNERSHIP ❑Private(individual,corporation, nonprofit institution,etc.) ❑Public(Federal,State or local gov't.) UBC OCCUPANCY G5OUP: 41 — COST (Omit cents) Nonresidential— Describe in detail proposed use of buildings,e.g.,food • Cost of improvement S processing plant,machine shop,laundry building at hospital,elementary .Z.----' To be installed but not included school,secondary school,college,parochial school,parking garage for 0° in the above cost department store,rental office building,office building at industrial plant. v" a. Electrical If use of existing building is beingchanged,enter proposed use. Q _ CTb. Plumbing IL, X L -3l , 1:3 48 ' 1 tU c. Heating,air conditioning d. Other(elevator,etc) -.1 • TOTAL COST OF IMPROVEMENT S - III.SELECTED CHARACTERISTICS OF BUILDING DIMENSIONS PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL •Number of Stories I Masonry(wall bearing) 0 Public or Private ,e�6+ :Total square feet of floor area, Wood Frame Individual(septic tank,etc.) all floors,based on exterior dimensions c Structural steel TYPE OF WATER SUPPLY •Total land area,sq.ft. t ❑Reinforced concrete pPublic or private company Other—Specify NUMBER OF OFF-STREET ; 0 individual (well,astern) PARKING SPACES Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE Outdoors--- 0 Gas ❑Oil RESIDENTIAL BUILDINGS ONLY • Number of bedrooms ❑Electricity TYPE OF MECHANICAL ❑Cos Full:" Nurtt>er of 1. Other—Specify bathroorr�s Partial f IV. IDENTIFICATION - Name Mailing Address—Number,street,city and State ZIP code Tel.No. 1. r_ 111 _i-Lci rborvtc-u.) No C lc-> , P C- ot_b'3 4 3-7- , • owner ,_s7 8`I 0 14 r 2. ' State License No. Contractor i:. • a Architect - V The o er of this buildin and the undersigned agree to conform to all applicable laws. of a scant c Address Application data 1 .�� _40 D6,(o/ J. PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVE'DrYY _ APPROVED 3Y APPROVED BY Ord .IEFFER1 TH DEFT l. L DEPT. PLANNING DEPT. - i'-; ISSUE DATE RECEIPT NUMBER APP PERMIT FEE �I ,,1/4% 5 , op l7,4 25 , OD _ ®_ BUILDING OFFICIAL /) 50 Tie fi.ntrry — Port To.%nsend . H� 6 36/82 - t --*_ f !.._. 5 r -�_,. :._-1. -Z q --- ---$--•.4 ,- 4---..,,_, ..� _ - r i ._, f 1z � _ i AEI _ .._�.. y Z Li- 3 a t la..;5. A Nt. to xl y tftil 1„ 1 ' ; , \ 1,t0 I, x rd v l7 •i A ... .,.i.. ,.e.r.. . .s,....K t O ,...,... L 4 • [ i . 0 ,:.p.e+.sr,.«..., ter.......:... .,_w,._...s......+i•..a.v:...,.,v. ,_.....y.,.._. �...._a+....♦ -.¢.:..ac_.r.....w..�„.s„.-<.i ...,.... ,t.....:..:.....a,..+.s...a.... ...a-<,.�-, ......._.,...,+v,..,.n_..:.... _ _.-:h ... . i ( , \� x N. I ' -...fl --fr-_ ; J - ...:...,.�{...�.,.m,.__.-.,_..� ,...K.�.-. a....�J,..._d.-ram....,.J.,.........-... ,ate,._,.; ..¢...,.;.. .w,....,.,.1... .a .....:. _ ...�:.... ,,,.._ ,� T � t , I t i _ , n • 4A .70 • -.�.0 ..r.v.....ors._....:m.......v:.._>...nr.:=,rrm.r._...r...,ru..._....___..w.:-w......v..r.. ,... .. ..::_......w,.1' _......urra...rrr..ru.....v.... .. ..ur.... i:i • ._:mod.«._.. .. .._..,._.....i. ......_.._........,_... ...r....�.r....._� • A K t 1 t-A-1A a_c o I F uJ ����� � ! y� ��' � �' - - ` ' � � _ , ` . ` - '� - __. ` ` ' __ _ ^ � ~ . _ ` . � _ ` y/ ' ' - _ `� ' . _ - � _- - i | / i� ������ ������������ . . ' '� - __ - . � ` . - . __ - -- -- -- = ` � ' �^-� | ' � � . ` � '� �' . ` � � - -' __-- ` ! ' �`� '- ' --_____ �� �� . /// �� ) - ��' ' . .--~ / �� -- __-�. � \ - //�/ /^ `^._ _ {` ^ _. � F _ ^` ' . -� / _ _ . . � � - / � - -- ' � ! -- � _. . ` '` - _ �' | / -- ye �'� __-_�__-----�_-______''____-____----__ __ -- -___-_ _-_ -Ilk . ...... 1)LP Ac 1 ,5 //' 4 4 I t,7 C..- lek Ow s,a_ W ss NI¢a sao sT-z R L ",---- la..` gt\k,sk\s-t-) 0) SA.3...)04,‘ k\. L_ ,--c-. ....ticl — 1)) 7:-----1(\s:-11 -k:,..,....) ,„..., lic__,All -Le-- 07- ,, - 2 ! / f� `21; ) 3? / -c e c of Oksj -777 S `5'----,,) S (: IA s`-1 -5 CU.,-` S-2 .-moo t -c, ---kia.,M4. 7 i L 2---- S M.-Q :-_—Ls 'a-Ist—c-v--, , s l® — 1, — k •`.-t.'ti __ ��= ---