Loading...
HomeMy WebLinkAboutBLD1988-00266 Ilk BUILDING PERMIT APPLICATION Jefferson County Builchilrepartment• County Courth+use •Port TOM 0 f, Wash.98368 • 385-9141 a N E I. LOCATION: geographic name SW SIDE OF d �ss ROAD FEET NE S W FROM INTERSECTION OF ROAD AN(DD A 7C J N , ,13'Pjcv4l Or ROAD other specific location or landmark: �.1,!�l R�k a.,�1 (�JiII.J l*a. LEGAL DESCRIPTION: P L PA-CZ{\„ i Lot Block Subdivision ct3ya00oo ? � 7 Tax Number '/.Section Section Township Range II.TYPE AND COST OF BUILDING - TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY ❑New building L �. Single Family ❑New County Resident Addition ❑Multi-Family Is this structure to serve the residential number of units El Alteration or commercial needs of those employed at either the U.S.Navy's Trident or ID Repair,replacement El Hotel,Motel, Dormitory r number of units Indian Island Facilities? 1 ID Wrecking ❑Mobile Home ❑Moving (relocation) ❑Other—Specify ❑YES ❑NO ❑Foundation only OWNERSHIP USE k ❑Full-time Residence ❑Private (individual,corporation, nonprofit institution,etc.) ❑Second Home: Recreation Cabin,etc. ❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP:g-3 ❑Second Home: Future conversion to permanent residence COST (Omit cents) -\: Nonresidential— Describe in detail proposed use of buildings,e.g.,food k • 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. ' l b. Plumbing ' ^ c. Heating,air conditioning ,--0,wet 'c/if I;;ram, d. Other (elevator,etc.) F--li e,�` I 25 my / • TOTAL COST OF IMPROVEMENT $ ��� � III.SELECTED CHARACTERISTICS OF BUILDING x/5�,1 L f-f w"� A G©(baowt— 7k'74-c, A/k-cJ — / 4 nip_ov 01 0 lc PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL MENSIONS Ell Masonry (wall bearing) •Number of Stories ❑Public or Private (Wood Frame ^—"� •Total square feet of floor area, �-� �Individu (septic tank,etc.) all floors,based on exterior � � []Structural steel dimensions . ✓7 ❑Reinforced concrete TYPE OF WATER SUPPLY • Total land area,sq.ft. C/00 ID Other—Specify XPublic or private company NUMBER OF OFF-STREET ❑Individual (well,cistern) PARKING SPACES Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE ❑Gas Outdoors ir ❑Oil RESIDENTIAL BUILDINGS ONLY L kl S1-/"; - /I gE lectricity Number of bedrooms XProposc 1___L_ Coal TYPE OF MECHANICAL FXi 5.�.� i {Full Number of ❑Other—Specify //(1/'cy'�S d bathrooms / Partial IV. IDENTIFICATION- . Name Mailing Address—Number,street,city and State ZIP code Tel.No. rvner Mc.Gt.csr>ti,c 6, P° ?:74X 4(0 aIt'0f+U(.tc.- C`6.331 3a _ 'tractor State License No. ft1 c LAC 4.I y/roc v6 itect Dwner This building and the undersigned agree to conform to all applicable ws. ure plicant �7 ss I Application date J `72'Z Viz; �_ X f �; / / e- ie - , ),c011(11188 \IING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT )VED BY 6 b .eGi."glk(R--\e) q \t\ttt5 . RAilaUVIlEi rifliEALTH DEPARTMENT PERMIT FEE ISS E DATE RECEIPT NUMBER � �\\.. e---„, 11441OO r( Nile DEFT 1 q , SO 75?/ 3 cR 0 -F SON COUNTY NINP,a tsl[7G OEP7 7v e/� 9f/// i The Printery—Port Townsend 6/1. deg iebzert2.,,,c. T:1911( sA 5731 / C ? 4.)./Atte ear ztar- zr 74, 4..k.4_ aci) -"Yr* /As C1//4 - 3C /:3c-..A,:/ /3#4.14”. - 3 eittogits C.4,‘4,4 j,„4443 asitoalmt 7- 497 -41 941,4 1,4 C,CA2 C/C9