HomeMy WebLinkAboutBLD1987-00400 t:LJILDINC; I L_, .:,,i I ii 4'LI(...111 ION
Jefferson County Building r tmenf•• County Courthouse •• Port Tov.nset. • 3S5-1310
NE i. /ii.
I. LOCATION: geographic name S W SIDE OF -p it e �., tI 'Il'FI F ET
N E ,, li-..,:ii ye,,,," ,f r�
S W FROM INTERSECTION OF ROAD AND -•A��" 4�� .A:. ` 'D
V
other specific location or landmark: •
EGAL DES IPTION:
Lot Block 3 Svc
j`A `
Tax Number %Section Section Township Range
II.TYPE AND COST OF BUILDING -
TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY '
New building 0 Single Family ❑New County Resident
ition ❑Multi-Family Is this structure to serve the residential
❑ number of units or commercial needs of those employed
❑Alteration ❑Hotel,Motel, Dormitory
at either the U.S.Navy's Trident or
❑Repair,replacement number of units Indian Island Facilities?
❑Wrecking ❑Mobile Home
❑Moving(relocation) Cher—Specify ❑YES ❑NO
❑Foundation only
Get 1---cc.t Q_
USE
OWNERSHIP ❑Full-time Residence
❑Private (individual,corporation, / ❑Second Home: Recreation Cabin,etc.
nonprofit institution,etc.) n a
❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: ❑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 ind trial plant.
a. Electrical If use of existing building is b. Plumbing � being changed,enter posed
o s _`-
C.ecpt 0 _= /Sop
c. Heating,air conditioning '/ )
d. Other (elevator,etc)
• TOTAL COST OF IMPROVEMENT $
III.SELECTED CHARACTERISTICS OF BUILDING -
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE D O95AL DIMENSIONS
❑Masonry (wall bearin ► •Number of Stories
l-' g ❑Publi rivate •Total square feet of floor area,
�wood Frame Individual (septic tank,etc all floors,based on exterior
0 Structural steel a dimensions
TYPE OF WATE PPLY❑Reinforced concrete •Total land area,sq.ft.
❑Pu . or private company
❑Other—Specify NUMBER OF OFF-STREET
Individual (well,cistern) PARKING SPACES ,•�'-�r
Enclosed ./
PRINCIPAL TYPE OF HEATING FUe.L" - TYPE OF FIREPLACE
❑Gas 'sue Outdoors a/
❑Oil RESIDENTIAL BUILDIN ONLY
❑Electrici Number of bedro s
❑C • TYPE I . MECHANICAL Nu r of Full
Other—Specify rooms
• Partial
IV. IDENTIFICATION- .
•
Name Mailing Address— Number,street,city and Stat ZIP code Tel.No.
Owner LQn0o t/ "? R
f(--)79—
V
2.
Contractor State License No.
3.
Architect
owner of this building and the undersigned agree to conform to all applicable laws.
e ' Addr s A plication date
nature o appli t
xtyyk.o___ 1%.--__ itql06\re--
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
APPROVED B \\ .snf cl` 1I ,$l�
l
JEFFERSON COUNTY HEALTH DEPARTMENT
APPROVED BY: PERNJ,�T FEE ISSUE DATE RECEIPT NUMBER
BUILDING OFFICIAL 7� J�
e linteri —Port TovVnsend C)197 L.36-7,:,
1l 2r . c
li
JEFFERSON COUNTY .._r_,,
AUG 2719
PLANNING NT. --___r_____ G
N�NNNNNrNrrrrrrrrrrrrr.rrrr.rrrrrr......... n
` e_
-1Na , - i i
(‹e'1,%'?-i-C42-A/-61411-74-4 1,7 ,OC,P,4,9?77444f-417-- -4
37
-_ - _1 __
: i CKN-
oI
I
----- .__ t ! r �.
._s-...
1
_l._ _--L
!ilill
4 t..4 :
11-)--L-zi.,,. 1 ,I, ..._......_
e, 1
,,4 _ _
N
11
1 ,-13,-1-1 if E.,VT .5 70.--_
_--- �; e" ?,/ /Le E SoN_._.._- .7 2 3e .z_. ._SSA ._ . `_ ss..- _z, •3.. ac?
t..
V --- /:\ /C.) _____. -. 0 --------------**---------7,
"• .-..^-------.'---*-,-,:1-- _______--
s• 4/1.,5 1..1 , %.1,
Q'
41,01,4 5;46--
...
/ y-/
N..... ,tm.,....n...04.4*......,Pre.,.2V.
. r
:-."...)
4..... .L . ,.....1 .4...". I
........,;. ".......
r
,
• "-.2(5'
' e•-,.' ''‘' s'`,,
kGe r
1 1.
1
...-z_N
PI )
..,..
.„.?
______.....a.
It......
,.,
44/A.1-Eff