HomeMy WebLinkAboutBLD1988-00059 • N E •
r -
I. LOCATION: peopnphic name S W SIDE OF r //�/ ROAD FEET
S W FROM INTERSECTION OF s ROAD AND
4 GIJ t ��/ � ROAD
�
4
other specific location or landmark:
LEGAL ESCRIPTION:
( _ pAvo L-L Lot Block Sub !vision
70a+ a- 1 /�jTa umber Y.Section x9g4-Q.(0
Section Township Range
II.TYPE AND COST OF BUILDING-
TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY •
r: Eithew building ❑Single Family ❑New County Resident
❑Addition ❑Multi-Family Is this structure to serve the residential
number of units 0 Alteration 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) 0 Other-Specify ❑YES ONO
❑Foundation only
USE k
OWNERSHIP 0 Full-time Residence r
❑Private(individual,corporation, /3 ❑Second Home:Recreation Cabin,etc.
nonprofit institution,etc.)
❑Public(Federal,State or local gov't.) UBC OCCUPANCY GROUP: 0 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 LJ X. S 1- I ckt I-/ 7 �
c, Heating,air conditioning
d. Other(elevator,etc.)
• TOTAL COST OF IMPROVEMENT $
71 .71617-III.SELECTEDCHARACTERISTICS OF BUILDING
C U,u e(— PRI4-ki l . 6r`a
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPO4 `DIMENSIONS• +F `
❑Masonry (wall bearing) Si •Number of Stories
❑Public or Private l�
•Total square feet of floor area,
❑Wood Frame k, tc.) all floors,based on exterior ;_
❑Structural steel )ittIndividuaQ_sept-TC-t—an
dimensions E,
❑Reinforced concrete TYPE OF WATER SUPPLY •Total land area,sq.ft.
Other—S ❑Public or private company NUMBER OF OFF-STREET F
pecify
rn OMLA-a(j [:Individual (well,cistern) PARKING SPACES
I' ' Enclosed .-
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE
❑Gas Outdoors .,
❑Oil RESIDENTIAL BUILDINGS ONLY 1`,
Iectricity Number of bedrooms
❑Coal TYPE OF MECHANICAL - _.
Number of
❑Other-Specify
Y bathrooms L'-':‘
`Partial
IV. IDENTIFICATION- - • le
Name Mailing Address-Number,street,city and State ZIP code Tel.No.
a_
cl-11).A- r- nlaTi-ti- Lohe__ ,... _
Contractor State License No.
t. :__
1
Architect
e-.
The owner of this building and the undersigned agree to conform to all applicable laws.
i.
/$i77pp on,,/_,, i,,2i) Address /j7 40/
,Q jApplicationd'`atte'J
,.
. _
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT [
l -
APPROVED BY Q id VI in —I !C K
`� r
JEFFERSON COUNTY �AL.TH = PARTMENT -
^APPROVED B 1 \�` PERMIT FEE Al-) ISSUE DATE
-N (w�--it--Jl J § )C• I`TitAiS
[ ..
,. ------- i , ) _ z..../r),,q ---7 69 .5, ,co, ...., ..
, ,
„ .
BUILDING OFFICIAIEP t O r R
5-0
Wei The PP,,ntrry - Port Too.nsend 10\ N.
/D Imo.
5,-
(//n )
4.-0C- CVZ(kAtu.k._ lirl,
QJED
)1-
tl:') t-, 1 6 7 --47") br ''...e,.../i---l• •k r'1 er1Lx.‘-\-. .'.
k :,
JetitiSul ,;)tinty Btd4 Nift
-..,
eiT-N" — O`-- L
_
C--)-1-
----
g
iI-1 , ----,_< k
1/ --,-,L.,...
/ <0 �t4
E
J 1
n