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BLD1988-00005
BUILDING PERMIT APPLICATIO . Jefferson County 8uil.Department• County Courtly) 7e •Port Tow I, Wash.98368 • 385-9.141' N E � I. LOCATION: geographic name S W SIDE OF AD EEC 5tiET NE S W FROM INTERSECTION OF ROAD AND other specific location or landmark: V (eel< k?ij/ S ( /`-KX� t. Orc,tLeZri _FT ION: 1 --til Lot Block Subdivi c (k) 9 Ci?. . > Ic Tax Number %Section Section Township Range II.TYPE AND COST OF BUILDING - TYF IMPROVEMENT BUILDING TYPE MOBILITY New building {ngle Family El New County Resident ❑Addition E lti-Family Is this structure to serve the residential ❑Alteration number of units 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 ❑YES ❑NO ❑Foundation only 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: ❑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�mexisting building is being changed,enter proposed use. (`� r b. Plumbing i�f�, v__LJ (;CIX a(1 S7 A'€ �v t ( -0 c. Heating,air conditioning , 1,1)).___:4---'14' - Y A,Li — 3j, e- j( i97 d. Other (elevator,etc.) P��iL1,: C' L-i 'f Y'7 / (lf • TOTAL COST OF IMPROVEMENT $ 14) -76,CD III.SELECTED CHARACTERISTICS OF BUILDING - '1 PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE Ol DIMENSIONS ❑Masonry (wall bearing) ❑Public or Private •Number of Stories •Total square feet of floor area, Wood Frame ilndivid al (septic to ,etc.) all floors,based on exterior - ❑Structural steel dimensions ❑Reinforced concrete TYPE OF WATER SUPPLY •Total land area,sq.ft. �ublic or private company ❑Other-Specify NUMBER OF OFF-STREET El Individual (well,cistern) PARKING SPACES Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE El Gas Outdoors ❑Oil RESIDENTIAL BUILDINGS ONLY electricity Number of bedrooms Z CJ Cl Coal TYPE OF MECHANICAL Other S eci Number of Full (/ • bathrooms �(j(-• Partial IV. IDENTIFICATION- • ,Name 1 Mailing Address -j NNu'mbbe,,street,city and"State ZIP code Tel.No. 1. PI`\�i Z �/ C Tb `�C�v i lk(U 1'�7 Owner 2. ' q-- F t-,?_ 9.S'%X/' C42-01- Q C.)t CI 01 er k - 1 ractor" y7V` 9erT a 6 7 .•/11� ll 3. Architect The owner of this building and the undersigned agree to conform to all applicable laws. Sig ature of applicant Addtas ` Applicati dat (-7.-- (2 -,-7---e_..- i,---s, /91')o---Q_ (_;21/C PLANNING AREA FIRE DISTRICT_ SCHOOL DISTRICT WATER DISTRICT APPROVED BY G� J F E1 r) DOE LFI N 1 APPROV D MILFFE ISSUE DATE RECEIPT NUMBER FE 2 1 -]�`//11 o (:::7R/...(7).44 . 5Lvc-, &BLDG DEPT `„, ' rirh Port Townsend r° ►-`( 1/ 1//II/ . , . 41111, illi . . , PLOT __ PLAN P/, 11;fo 4 m ri lyN &oldaJer' _ ___ 3`f,-fl 3 9 -- .--..S.W, al c�!'on/ _Seattle. , v✓A 9 91 I e Rhooew 1 Dr;ve. 11 -J l of 12, Div.J of s Plea,v _T;We5, r'ecorc/cq'ill '-1 vol. 5of P/.0-5, p5, 74 , 0 _le-Fr erSonr Coun 4 •► -€. ' \ mac,. z\i Tax 98s-Soo_-o�� f�.* ` N�o-- f. kdt: �"�! /� aye; \ ` `. 4, (---)V ‘/ Scale I = 0 - ctl 0 • AA� ,0a 7, à27 70. 96 . J7`7�!'L s� McCLANAHAN CONSTRUCTION Rt. 2 Box 665 SHEET NO - OF_/k'6_ 4....„ r1 rL, QUILCENE, WA 98376 CALCULATED BY . 7/_G_/'j DATE ;3C /Pi.0 £�' CHECKED©v_. __ _ DATE +__ ') r SC ALE -- / / S •T A,, ' ' 35-' 5ScL, 0 S� _ ` © 1 1 I Q ri le I / III q-.)/ 44 PAR K i A/b / VPJEr 1 Z..-' i `w 45 , R, Cu.47--is,. _ R©b x .PR/r6- P .CT 2 4 i /niras)w wt.,rs oi,so 0 i i r _T r+.r. T?=aC'iINT i C7Ta i\Tm v F TT T I i)i i\TI-I : - a•. r=rTviT s- Jefferson County Planning and Building 'Department Courthouse, .Srd Floor PO Box 122C Port Townsend, WA PiR:46S 206-3R5-9 i 41 PRRMTT # • RT,i1RR-0005 T3ATr. TSSiiFfl. : 02 /22/SS S T TF. A1711Kr. » - RHOT)OTWNDRON (,N •RRTNNON. WA yis.z2t) OWNER • PHILLTP (01 T)Ai1F.R PHONF. - 937-247q Iv1A T T,TNC A-MR : 3441 .SaTH SW - SFAT'I I,F. WA '1S1 i 6 CONTRACTOR. . -NO CONTRACTOR PHc7NF - MATLTNG A17T)R- • CONTR . LTC #- F.XPTRAT TON T)ATF.- PARCFT, NO. . . - ySS5000 i 2 T,FOAT, T)FSC. . - STR 15-25-02 WWII, TAX # LOT RI,OCK T)FSC RTPTTON OF 'I MPROVWMFNT- single family residence. 1 Fnntinn/SethacKs (Shoreline Sethac'K) lMnhi iP Home Blocking: ) Foundation : ) underground Plumbing/Underground T n.su i a t i nn ) FramincjiP iumhi, nn(Ch imney. 1 ) insulation : ) SeWane Ilisnosa 1 System Fina 1 winai ,rOccupancry A`7y]rni O/� 7- 148°_ e?6 44? CAT,T F 5-q i 41 24 HOURS TN AfVANCF. TO SCHF.i)t T,F TNSPF.CT T ONS. Office Hours y a . m . to 5 p.m. Inspector ' s Hours g - in a .m. 24 Hour Recorder for inspections.