HomeMy WebLinkAboutBLD1988-00060 BUILDING PERMIT APPLICATION
' Jefferson County Building tment• County Courthouse •Port Townsenillash.98368 • 385-9141
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1.LO A I IO geographic name - _ _ SW SIDE OF __ROAD______ _FEET
NE
D
JUN 2 8 1""3 S W FROM INTERSECTION OF ROAD AN ,- 5 1 �� � ROAD
/EF,,,or; N . ,,spe0NTY � 1
P!peienvc N r, fic location or landmark:
LEGAL D SCFUPTION: E
_..
p�Q 0 „Q Lot Block Subdi si�n� /
/ l/ I V`x�. i3 0 lJ Tax Number %Section SectionTownship Range
II. TYPE AND COST OF BUILDING -
TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY
New building ❑Single Family ❑New County Resident
❑Addition ❑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 ❑YES gNO
❑Foundation only
USE
OWNERSHIP
�j� (_J Full-time Residence
`f<Private (individual,corporation,
nonprofit institution,etc.) - 7 Second Home: Recreation Cabin,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 existing building is being changed,enter proposed use.
b. Plumbing J( `r 7°
c. Heating,air conditioning i+/ ?(mi // ?'7 7,
`7
d. Other (elevator,etc.) - 4?2 — `_i / rai
• TOTAL COST OF IMPROVEMENT $ VU�� rc/
III.SELECTED CHARACTERISTICS OF BUILDING -
1
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PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DES IMENSIONS
❑Masonry (wall bearing) •Number of Stories '
❑Public or Private
•Total square feet of floor area,
❑Wood Frame _'Individua ,etc.) all floors,based on exterior
❑Structural steel l/Jll dimensions
❑Reinforced concrete TYPE OF WATER SUPPLY
Total land area,sq.ft. ���1] �-
❑Public or private company __ S f V�/l .1
FOther-SpeS�ify NUMBER OF OFF-STREET
- 'WA 0•V C ire X X 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
El Coal TYPE OF MECHANICAL
❑Other-Specify
Number of Full
bathrooms
Partial
IV. IDENTIFICATION-
Name Mailing Address - Number,street,city and State ZIP code Tel.No.
Owner _,,O .W)E. i�
2. ` I ,7
Contractor State License No.
3.
Architect ' 1
The owner of this building and the undersigned agree to conform to all applicable laws. •
Signatu>;e of ap i'a ��`� Addres Application date
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
APPROVED BY
"'BY til (D C)r /(1/
`�`�JEFER�i90 •44 '. r EALTH DEPARTMENT
APPROVED BY PERMIT FEE IS UE DATE RECEIPT NUMBER
U6 7 ,C0
BUILD!Rt4i10101CiI& Mu3 DEPT Q / C wta
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The Printery-Port Townsend ��, fill__J/// 1 [ I Y J 1 '"(---/ f
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JEFFERSON COUNTY MOBILE HOME INSTALLATION PERMIT
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St .
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD88-0060 DATE ISSUED. : 08/04/88
SITE ADDRESS : 331 EGG & I RD
:CHIMACUM, WA 98325
APPLICANT. . . :BRAD COWLES � PHONE : (206) 484-2573
MAILING ADDR: PO BOX 1209
:BOTHELL WA 98041
PROPERTY OWNER IF DIFFERENT FROM ABOVE PHONE:
MAILING ADDR:
INSTALLER. . . : PHONE :
INSTAL LIC # : EXPIRATION DATE : / /
CONTRACTOR. . : PHONE :
MAILING ADDR:
CONTR LIC # : EXPIRATION / /
PARCEL NO. . . : 801041009
LEGAL DESC. . : STR 04-28-01 WWM, TAX # 8
LOT , BLOCK ,
DESCRIPTION OF IMPROVEMENT: Mobile Home Installation
THIS PERMIT IS VALID FOR ONE YEAR ONLY AND IS NOT RENEWABLE.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. 1
THE EXPIRATION DATE IS 02/05/00 .
( ) Footing/Setbacks (If continuous footings are used) :
( Blocking/Setbacks/Plumbing j -2 2 —
/ al/Skirting/Vents/Porches/Steps : � / 4/` 2�-q9
(bldmobpt . txt)
CALL 379-4455 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS .
Office Hours 9 a.m. to 4 : 30 p .m.
Inspector' s Hours 8 - 9 a.m.
24 Hour Recorder for Inspections
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