HomeMy WebLinkAboutBLD1987-00390T
NG I'Llil.il1 Al r'LiLi4.1 IUN -
B U I cS3rSB • 335 1310-
t • County Courthouse • port Townsend. 1 -
,lcfle+son Counts B•r•rd•nQ Depart', ,,, --
N E ROAD FEET
me na-ne
t. .
I. LOCATION: �upvn S w SIDE OF ROAD
N E ROAD ANG
SW FROM INTERSECTION OF ���I ow
S �Qh
J Ofnt/lOKri.c,OCarron Or/a noma1l � ` I/� 1
LEGAL DESCRIPTION' Po/ Subd,v s on / k
Lot roc► �r,�'V
�' Townsnrp FlangeTax Numoer I
H.TYPE AND COST OF BUILDING
MOBILITY
BUILDING TYPE
TYPE OF IMPROVEMENT 0 New County Resident
,S,nglt Family
0 New budding Is this structure to serve the residential
Q Mu number
Addratioon number of carters or commercial needs of those employed
0 Repair. Q Hotel,Motel, DormrtorV
at either the US.Navy-s Trident or
0 replacementReps,r- number of carters_._.--_
Indian Island Far,hnes,
Q Wrecking Q Mobile Home �('
Q Moving Ireloca`ron) 0 Other -Specify
0 YES O \�a
O Foundation only
115E CH
..:.
OWNERSHIPFull-trine Residence
_1
Q Second Home. Recreation Cabin,etc.
�Prrvate (rndrvrdual,corporation,
nonprofit institution,etc.) QSecond Home: Future conversion to
t gov't.) UBC OCCUPANCY GROUP: permanent residence
❑Public I F edcral.State or Iota
N presidential- Describe in d tail pro sed use of uild,ngs. -g..food
. --. ,..,S '
(Omit cenrsJ spite',eIe entary
COST me shop, aundry b riding at
S "� ��1� isrng lane,resat r no garage r
• Cost of improvement O� parochial hoof,pa
CO
sch I,seco ary scito I,college.Da nt.
in be installedbo but not included rental ffice bur mg.office u'lding at dustna•D
depart nt it e,
the above cost
a. Electrical If use of listing uildrng being chged.enter proposed use.0 4
b. Plumbing
� � t41) a411 ' I - gO
i
c. / t t",/� 0-0
Heating,air conditioning Si-- o^ r /g / o .—
/ o d. Other (elevator,etc) % '
• TOTAL COST OF IMPROVEMENT S/3 5�.�
III.SELECTED CHARACTERISTICS OF BUILDING -
DIMENSIONS
TYPE OF SEWAGE DISPOSAL •Number of Stories
PRINCIPAL TYPE OF FRAME
.(�j Public or Private .
✓`-" •Total square feet of floor area,
Q Masonry (wall bearing) -
att floors,based on exterior
Wood Frame Q Individual (septic tank,etc.) dimensions
OStructural steel TYPE OF WATER SUPPLY •Total land area,sq-Ft-
Q Reinforced concrete 1 .Public •
or private company
NUMBER OF OFF-STREET
Q Other-Specify FJ' Individual (well,cistern) PARKING SPACES
Enclosed
- PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE Outdoors
❑Gas RESIDENTIAL BUILDINGS ONLY
Q Oil Number of bedrooms
50Electricity TYPE OF MECHANICAL Full
0Coal - Number of
bathrooms Partial
D Other- SPec,ty
IV. IDENTIFICATION- ZIP rode Tel.No.
Mailing Address-Number,street,city and State /
Name
I.
ig_hY1 30 if(Lerns he- - T JycYbY
2. ct IC -e-7 to//t%j License,No. �Q_{ / ��
Contractor Y)C� 64,9-2./y� -2/
3
Architect
The owner of this building and the undersigned agree to conform to all applicable Taws.
Application date
Address / f- / ( / // y r
•
,./i / °D."i c9-lO Pcm-/ '� .� (D J
_ WATER DISTRICT
PLANNING AREA
FIRE DISTRICT__— SCHOOL DISTRICT
C.
APPROVED BY
.. Mr-Alm E/y ISSUE DATE PERMIT NUMBER
c A¢oscwso+G
s PERMIT FEE
APPROVE Y /5 '
,. 1 ,. C.)c'? 6....1)....v
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gUllDttvGOFFICtAL
1 7S3.t,
2_4 AO 0)171-1..t
4/15-
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0 - 41 co trAt zx )64
3it. lb
APppovED
JUN 1 7 S (s\L
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