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HomeMy WebLinkAboutBLD1987-00441 BUILDING PERMIT APPLICATION • Jefferson County Buildinfipartment• County Courthouse •Port Town Wash.98368 • 385-9141 N E d * I. LOCATION: geographic name S W SIDE OF ROAD FEET NE S W FROM INTERSECTION OF ROAD AND 5 �' r ROAD other specific location or landmark: \.,i"FS—Cir? S ( i I I fl P'A• / iL LEGAL DESCRIPTION: J C-( of Block in Su i on cf-7 WO WY Tax Number '/a Section Se ion To nship Range II.TYPE AND COST OF BUILDING- TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY ew 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 ❑Repair,replacement ElHotel,Motel, Dormitory at either the U.S.Navy's Trident or number of units Indian Island Facilities? ❑Wrecking Mobile Home ❑Moving (relocation) Other—Specify ❑YES LINO ❑Foundation only OWNERSHIP USE ❑Full-time Residence ❑Private (individual,corporation, nonprofit institution,etc.) j ❑Second Home: Recreation Cabin,etc. ❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP:i�"—" ❑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 e:/9 ,, --- 1q y olcil �^, c. Heating,air conditioning e r ' I y ' d. Other (elevator,etc.) )/Y)ri /6e, ."' • TOTAL COST OF IMPROVEMENT $ I" `t/li III.SELECTED CHARACTERISTICS OF BUILDING - PRINCIPAL TYPE OF FRAME TYPE OF SEWA ` • DIMENSIONS 1 ❑Masonry (wall bearing) ❑Public or Pr' •Number of Stories 1 •Total square feet of floor area, ❑Wood Frame Individual eptic tank etc.) all floors,based on exterior • ❑Structural steel dimensions 1 1 .' ._ ❑Reinforced concrete TYPE OF WATER SUPPLY • v Total land area,sq ft ( Other—Specif ❑Public or private company �'�� NUMBER OF OFF-STREET O--- MainiriA. ❑Individual (well,cistern) PARKING SPACES Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE CI Gas Outdoors 1 ❑Oil RESIDENTIAL BUILDINGS ONLY 1'°'11 electricity Number of bedrooms c„ � ❑Coal TYPE OF MECHANICAL ther— eci y Number of Full r)dA/©© ?�,_f� bathrooms ��11 1 0�.� Partial IV. IDENTIFICATION- • Name Mailing Address—Number,street,city and State ZIP code Tel.No. ,L 14 --- ')h r�.l P.0, t cR,7 / C� _ Owner U,el IA) 1-t , I t l ! C (1. (�r) 2. P.0 c 1�Yi s� K. 1,...-' State License No. C� ���J Ul o of 3. , Architect T e owner of this building and the undersigned agree to conform to all applicable laws. Si n f aappplicanntt Address /rK`' / v ' Applicatio�,,date / ANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVED B " 0 -td I I / ,-9._.47,- k JEFFERSOr COUNTY HEALTH DEPARTMENT .� APPR*V B\: PER I FEE ISSUE DATE RECEIPT NUMBER BUILDI OF`FICI_,, pCgEPFfn30ry Cp 1 Sr) NNING&BCOG IV�T The Printery—Port Townsend 7 0 t 7 le / //?k • • i{1- r - • 1 5\LS-Q S\.1oQ.S-- 1 _ ; ,$o/ It,Q) r z ' S` 1000�.,\ a Viar g) ;' S "") kr ) Q' "...1..It 7/0 i A ...• CIS x3 , ' ter o s\._ ,\. '.[`9_ L.b-.% s . . •') h ' .._____tic Gz.. s� 1 da APPROVED DEC 2 3 1917 f�� ?c..oy ?!L /1 L C PLANW COUNTy BLDG OFpr k7I4M 061/196 bbU //?s 47 1;1 (2. 4/t ...J I..-C t Cl�vti��