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HomeMy WebLinkAboutBLD1988-00001 *WILDING PERMIT APPLICATION Jefferson County Building -tment• County Courthouse • Port Townsenassh.98368 • 385-9141 N E I. LOCATION: geographic name S W SIDE OF ROAD FEET NE f� n S W FROM INTERSECTION OF ROAD AND ,/ Li/i (AI//'- ROAD other specific location or landmark: S 1 ©�S /k SE 1/(f o 1 562 LEGAL DESCRIPTION: pore (+b-01 � Lot Block (e Subd�ivisi t L fv' `� d 4 e' ✓ lR'P � Tax Number '/.Section Section Township Range II.TYPE AND COST OF BUILDING - TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY New building Single Family El New County Resident Elddition ❑Multi-Family Is this structure to serve the residential number of units ❑Alteration or commercial needs of those employed ❑Repair,replacement ❑Hotel,Motel, Dormitory at either the U.S.Navy's Trident or number of units Indian Island Facilities? ❑Wrecking ❑Mobile Home ❑Moving (relocation) ❑Other—Specify CI YES ❑NO ❑Foundation only OWNERSHIP USE ❑Full-time Residence El Private (individual,corporation, I nonprofit institution,etc.) ❑Second Home: Recreation Cabin,etc. ❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP:fl ❑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 bein hanged,enter proposed use. • i b. Plumbing mct \ — /00 3� Rc ) c. Heating,air conditioning ea f 1 yo c C d. Other (elevator,etc.) t,0/'7 • TOTAL COST OF IMPROVEMENT $ r_i00 c/. '7 q III.SELECTED CHARACTERISTICS OF BUILDING - 111 / i $,CL PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE D IMENSIONS El (wall bearing) •Number of Stories ❑Public or Private •Total square feet of floor area, Wood Frame Individ septic to etc.) all floors,based on exterior ❑.Structural steel dimensions TYPE OF WATER SUPPLY ❑Reinforced concrete •Total land area,sq.ft. ❑Public or priv.te company ❑Other—Specify NUMBER OF OFF-STREET /1Individuadip istern) PARKING SPACES Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE ❑Gas Outdoors ❑Oil RESIDENTIAL BUILDINGS ONLY Ca- Electricity Number of bedrooms El Coal TYPE OF MECHANICAL Other— pec'fy Number of FUII /I ``,,ry/CO�ye� bathrooms N Partial IV. I�IFIki)PbM"'-' �� I� e Mailing Address—Number street,city and State I ZIP code Tel.No. 1. ' I G, t4/t,' - :,�" � .:>__ ` 'J� � !t J l ', s'5_ Owner ; ,l Mqr( 4 JVt//J✓ �] 7as-Lj .. 2. Contractor State License o. a. 3. Architect The owner of this building and the undersigned agree to conform to all applicable laws. nature f applica Address ycaate PLANNING AREA T_FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVED BY JEFF R •LI, • NTY HEALTH DEPARTMENT Olt'f4:4" �� -` !� � PERMIT FEE ISSUE DATE RECEIPT NUMBER (�i d5,t) JAN 2 2 1888 Y �' , , Z 7 JEFFERSPA Pflury h Port Townsend �� j//� 120 ,..., r, (71 I fT,ill. nl` `� U --1k f a C C q..\ -1 .. 7\ L i r -t Q 0 cr- \ \\'',.: , 1.- 6 t.01 \\ tf, - t? ! 01 C r (In m r, Z _ R `, • E R 4. -e z LI' t - 2 { 1 1 1 zi b C,' Efl.f mE-ni 7 '3hu )_ M Al raFAIJ L..N, lc --_ _ , ...H'STi,J 65 _ • • , , • I e r 1 a r i -7 1~TPrr.TR5 C11T\J C C t3. T-`v' RiJ i i.i)T T3C-4 r`� F.'W(64T `r .7Pf fArson' County P i ann i nn and Ru i i d i na Department Cnurtnnusp, Ord Flnnr PO Rnx 1220 Port Townsend ; WA 9R368 208-385-9 14 1 PF.RMTT # • RT,17RR-0001 DATF. T SSTJFT). : 01 i 22 /RR STTF AnnRF.SS : 500 ARARTAN T,N :PORT TOWNSFNT). WA 98368 OWNER • DAVTD) SCHROFDFR PJiONF : 283_725(=, MATT,TN( AT)DlR : ,v /ro 50 4/ /11 - 37.►J' ) D73 : S4+.1 TTT,F .WA 98 1 O p 17 e wA/U 04 2O52 C:ONTRACTOR . . :NO CONTRACTOR PRONE: MA T i,T N( A J)i)R : CONTR. T,T C #: F.XPTRATTON DATE : PARC F.T, NO. . . : 00 1 OFi400R T,FGAT, DFSC . . : STR OE -.i0-0 1 WWM. TAX # T,OT , RT,OC K DFSCR T PTTON OF TMPROVRMFNT: S i no i e family residence ( ) Font i nn/SPthacks (Shoreline SPthac:k) /Mnh i l P Home R i nck i nn: ( ) Foundation : ( - • i TJnderground Tnsu i at i nn : '---P .r 4 -.•- A ' - . P.. ar , m 41, ! ( ) Framing P li)mhinoiC llimnPy: T n.rSUET I nn _: ( ) Sn&Ptrork ,4.4,4agei f.. ' \_-'._ ( ) Sewage Disposal System Final : ( a i IOrrupanny Annrnva OK - $ 22 7 ©t 6 44.69 „0.. CAT,T, 385-9141 24 JioTJRS TN ADVATvi,r. TO SC;HF.D)TJT,F. TJJSPF%TTONS . 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