HomeMy WebLinkAboutBLD1987-00440 bU!LLli;i1J t-Li'. .:i i tr-'+l'P.%lril.r�:i ►�)i`
Jefferson County 8uildir fpartment• County C; ',rt/1buse •• Port Tovrd1, Wash.98368 •• 385-1310
N E
I. LOCATION: geographic name S W SIDE OF �i C� L� ROAD 1 O f FEET
S W FROM INTERSECTION OF ROAD AND 3 12 5 O -Hwy y 1 ROAD
other specific location or landmark: .13
LEGAL DESCRIPTION: 1
Lot Block Subdivision
Tax Number 'h Section Section Township Range
II.TYPE AND COST OF BUILDING -
TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY
XNew building ❑Single Family ❑New County Resident
❑Addition ❑Multi-Family Is this structure to serve the residential
❑Alteration number of units or commercial needs of those employed
❑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 ❑NO
❑Foundation only
Li L
USE
OWNERSHIP
❑Full-time Residence
❑Private (individual,corporation,
nonprofit institution,etc.) ❑Second Home: Recreation Cabin,etc.
❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: 4 ❑Second Home: Future conversion to
permanent residence
COST (Omit cents) Nonresidential— Describe in detail proposed use of buildings,e.g.,food
,,...9
• 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 Ibuildingisis being changed,enter proposed use.
b. Plumbing 3L x p2"1 (8(O I 1 .- trot e-48
c. Heating,air conditioning 3 (O x I L_1 = 1 -1
d. Other (elevator,etc.) 4)O) 9 y y .
• TOTAL COST OF IMPROVEMENT $
'.-."3-- III.SELECTED CHARACTERISTICS OF BUILDING -
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS
❑Masonry (wall bearin ► •Number of Stories
/ 9 ❑Public or Private •Total square feet of floor area,
'�ZI Wood Frame ❑Individual (septic nk,etc.) all floors,based on exterior
1:-_]Structural steel dimensions
❑Reinforced concrete
TYPE OF WA SUPPLY •Total land area,sq.ft.
❑Pu is or private company
❑Other—Specify NUMBER OF OFF-STREET
Individual (well,cistern) PARKING SPACES
Enclosed
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE
❑Gas Outdoors
❑Oil RESIDENTIAL BUILDINGS ONLY
❑Electricit Number of bedrooms
❑C TYPE OF MECHANICAL
Number of Full
Other—Specify
bat ms
Partial
IV. IDENTIFICATION- - •
Name Mailing Address— Number,street,city and State ZIP code Tel.No.
1. Inn cI( L33. P)urns Ply Sox 2(oz 13 `e 320 76iCo -
Owner q 9982
.._..\
2. - 5y stf .r/ ]\-r..U`', 6. � Z.u - i uo o_S SSo,.q- l_S,t Cl 89 t"I—
Contractor State License o. \
M �� k04._ S yST� Ni1:l p a�� 6« 9 8 K3
3.
Architect
The wner of this buildin and the undersigned agree to conform to all applicable laws.
ig r of app nt, Address Application date
Q
/// p R/a42/6 7
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
'• ' APPROVE B
C ICE( -t0
EF ERS'NN oUPFTY HEAL DEPARTMENT •
R Q PERMIT FEE ISSUE DATE RECEIPT NUMBER
3 - 50 (3 ....s.-7
BUILDING OFFICIAL _I( 3 2
lq . 50
The Printery — Port Tov.nscnd TO fr/ In S-._6—v
• •
•
•
.._
„--'
" 4
,
; A
,
.... --,
> (7", • .i:';
r,
• ?
- --,
-----' Z.. ? 1
c cp .0
_-
_- ---/ c . \
--------- ",....
-4-
" \\ ! •-, i
I
1 1
\ ;----„-
\
/ .
-,-...
--- ,
4\ \
i
\ ,\
7 J
.;A
,
. ,- . • , -\-C ' I t
%-...
V
0
0 ,
\A ,
\ H ,
7-7-
\ 1
•
• frl
r ...t,
(7/11
o
-r,
r \
o
0
n .
• 0 •
.; • .e i
i .
..
.____.-.
T -•
7
J A Ok
ci_ C_ C
P
S-
-.....„.....
0
1 e
i, _. % -. A
/ I
I /
ct
IP
.r.
,-
- 0
t,(I
, /
2--- cc,
x \ N e
i
/"-..
ft-le.
k.
'I ---7
r
f ----.---
V '''........3.
\
) \\„.........
,---
------", ,
Y ..,.
i 't .1 c
I+ _ /
i, , e
t, r
r
:IL ,
/
1 i
N
P, - ....-co
y. •g br'j 0 1 v? ."? ---- ' -i-7 /L,N5"..4—..... t 1.4_,b?4,o—c.:71-3,4,........
e-:-*IA,oau4.\LS`
dr..A.A....
2T14w�
D,-cam-,. .— is, AX 47-7./o re sa- - Zer- . 4W/Ile,
:-7!2:- ' ,f,74/1-j—
/0 75 -I- fr.„,._,..,_.‘,;..7 '
/? - 20 Y? G : '-
s /2_7
/S'7 J k, sue- G-c_.,,
a /-A/...ov-C. LAPS ._ cJ CruLLAI
t,-
4?-t pc.. A,, 2 _
4J. 2x / sar-.1