HomeMy WebLinkAboutBLD1987-00432 BUILDING PERf�.IT APPLICA i ION
Jefferson County Building artment• County Courthouse • Port TownsteWash.98368 • 385-1310
N E -OF s
I. LOCATION: geographic name S W SIDE OF ROAD FEET
NE
S W FROM INTERSECTION OF ROAD AND ROAD
other specific location or landmark: g� MST/mil k® Ch--)
LEGAL DESCRIPTION: ��
----�L -- Block Subdivision
Pam-.--*1 (7O/ 7.Z/a. 6 2-�/ 3,-, / c,,..Tax umber '4 Section Section
II.TYPE AND COST OF BUILDING -
.6
TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY
Range
New building 0 Single Family ❑New County Resident
Addition ❑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 US.Navy's Trident or
❑Repair,replacement number of units Indian Island Facilities?
❑Wrecking ❑Mobile Home
❑Moving (relocation) Other—Specify ❑YES ONO
9, ❑Foundation only
\vMtit -- OccINPtlaQ k11C1.-1eSC
\.) ► C> 1C-� USE
OWNERSHIP ❑Full-time Residence
❑Private (individual,corporation, ❑Second Home: Recreation Cabin,etc.
nonprofit institution,etc.)
❑Public(Federal,State or local gov't.) UBC OCCUPANCY GROUP: /3'" 2'' ❑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 of existing building is being changed,enter proposed use.
b. Plumbing ell
I X Z(c; ' LI 1( do l wo — (,b 5 l7
—
c. Heating,air conditioning
d. Other (elevator,etc.)
•
• TOTAL COST OF IMPROVEMENT $ 2 pp p° \
III.SELECTED CHARACTERISTICS OF BUILDING -
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS C
VCD ❑Masonry (wall bearing) ❑Public or Private •Number of Stories
pl."- •Total square feet of floor area,
� ' [Wood Frame Individual septic tank, tc.) all floors,based on exterior
�i ___,% dimensions
[]Structural steel
❑Reinforced concrete TYPE OF WATER SUPPLY •Total land area,sq.ft.
❑Public or private company
Other—Specify �'°'"� `I'�C Individua (well,)cistern) •
OFF-STREETNUMBER OF
PARKING SPACES
Enclosed
PRINCIPAL TYPE OF HEATING FUEL
TYPE OF FIREPLACE r
❑Gas � Outdoors —C
❑Oil r RESIDENTIAL BUILDINGS ONLY
. <.
!tC"' Electricity Number of bedrooms \(>
�..} � TYPE OF CHANICAL
�--- .. ❑Coal Full
(,4000 a.M-� / Number of
Other—Specify
../E
Partial
IV. IDENTIFICATION-
bathrooms
,,, \Name Mailing Address—Number,street,city and State
� — GZIP code Tel.No.
t. c'1\1:--(Ll,e_' Lq.,k(J0.,1 `1^\ R-\1 8-s ' � ,. Z.. ..r,-.p 1036 , 38s-
Owner /
2. S `- -
Contractor State License No.
3.
Architect
The owner of this build -tb undersigned agree to conform to all applicable laws.
Signs, af, applicant_ ______----' Address poication date
� 1 `\tE3'�3 -7
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
APPROVED BY D p\c e& O nA \p146, — \�,� / t(Cltcc: d•-t (,,�.T. ,6
JEFFERSON COUNTY HEALTH DEPARTMENT
APPROVED 1Y: PERMIT FEE J�A RECEIPT NUMBER�j
'1. .. „ - 11 .::.~ --- ,
Wax �.� [O8/ 7
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BUILDING OFFICIAL 5,,S 1.5cvo,
t¢
..___The-printery---Pert Townsend
1 /o6su
CHARLES AND JUDITH LANDAU
HOME BUSINESS CONDITIONS
1 . ApprovaL of the operation does not change the underLying
residentiaL Land use of the property . Subsequent commercial
use of the property or expansion of this home business is
subject to the review and approval of the Jefferson County
PLanning and BuiLding Department .
2. The hours of operation shaLL be Limited between 8 :00 a.m.
to 5: 00 p.m. Monday through Friday .
3 . Security and other Lighting shaLL be hooded or directed away
from adjacent streets and properties .
4. No off-premise signs shall be permitted.
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