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HomeMy WebLinkAboutBLD1988-00293 BIDING ERMIT APPLICATION Jefferson County Building Department•P .{0 . Box 1220.11rt Townsend. WA 98368 r s LOCATION _ SPECIFIC LOCATION SITE ADDRESS 6/ �-- 6,72c c,=' "'"'`' POSTAL DISTRICT P.r. /SUBDIVISION LEGAL DESCRIPTION LOT BLOCK DIVISION TAX NUMBER PARCEL NUMBE 0Gr-3v Z 6G$ 1 / 4 SECTION SECTION 6 TOWNSHIP t—t NORTH RANGE !L WM BUILDING INFORMATION BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE 0SINGLE FAMILY , NEW BUILDING MAIN FLOOR ❑ MOBILE HOME ❑ ADDITION 2ND FLOOR / ( ❑ MODULAR HOME ❑ ALTERATION BASEMENT ❑ DETACHED/ATTACHED 0 REPAIR CARPORT GARAGE ❑ REPLACEMENT ` GARAGE ❑ WOODSTOVE ❑ WRECKING/DEMOLITION ( COMMERCIAL ❑ MULTI - FAMILY ❑ RELOCATION/MOVING INDUSTRIAL NUMBER OF UNITS MOBILE HOMES /� ❑ COMMERCIAL SIZE f p( $35 < -�, 616 ❑ INDUSTRIAL YEAR / 'tu- 0 @ $ 1 6 ? B /L ❑ HOTEL/MOTEL/DORMITORY MAKE 0 @ $8 NUMBER OF UNITS ❑ OTHER SPECIFY ESTIMATED COST OF a $8 IMPROVEMENTS TOTAL FA ,Ri. MARKET VALUE UBC OCCUPANCY GROUP $ $ /51 &i 2 c, SELECTED CHARACTERISTICS OF BUILDING PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL )E, WOOD_FRAME a ELECTRICITY 0 COLLECTIVE SOLAR ❑ MANUFACTURED 0 WOODSTOVE ❑ PASSIVE SOLAR ❑ STRUCTURAL STEEL 0 GAS 0 COAL ❑ REINFORCED CONCRETE ❑ OIL ❑ OTHER - SPECIFY ❑ MASONRY ( WALL BEARING ) DIMENSIONS ❑ OTHER - NUMBER OF STORIES '1 TOTAL LAND AREA 5'-) r-( ' DEPARTMENTAL REVIEW / HEALTH DE,3ARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS 01C, S` `) \I-Ac.� 0 PUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS `%� Iv l l Lg ❑ INDIVIDUAL ( SEPTIC ) NUMBER OF PROPOSED BATHROOM a �jy APPROVED DATE ' 0 INDIVIDUAL WELL NUMBER OF EXISTING BATHROOM \/ PUD TYPE OF WATER SUPPLY pp_ ❑ PUBLIC ( NAME OF WATER SUPPLY R, G( Lt-:)ciT Iv4- I APPROVED DATE ❑ PRIVATE ( NAME OF WATER SUPPLY tiO PLANNING DEPT . WITHIN SHORELINE JURISDICTION ❑ YES NAME OF ADJACENT WATER BODY ❑ NO APPROVED DATE BANK HEIGHT SETBACK PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH QC ;CI =-t lr� - NAME OF PUBLIC ROAD NAME OF PRIVATE ROAD APPROVED DATE ROAD ACCESS PERMIT REQUIRED ❑ YES ❑ NO IDENTIFICATION in t �^ NAME """ MAILING ADDRESS ZIP T E L NO . OWNER j < e. /_T . _ ...,: 13G Ci — S Ia E V+n O R t cp ` 74F .. ,Y 1 /� f �j ,� 033 0 CONT VTR � 'LV -L 1`"�'� �/��-y�� ��-� ��r�l�oil�� ST STATE LICENSE 't lJ�NO I ���/�� , C tar\-- OP(T�i ELC /. !'Rs ARCH ' 3 ,2 THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS. SIGNATURE OF APPLICANT APPLICATION DATE RECEIPT NUMBER ( CHECK NUMBER OR CASH yid 7 . ///aa F ,3 r(q_7 1 1 ` c / AP V Y PERMIT FEES A P V Y I`S BASE FEE INSPECTION r 350, BLDG SURCHARGE PLAN CHECK C, " 1 9 1988 / `''�r ENERGY SURCHARGE 2/b,5 TOTAL JFFIN COUNTY - PLANNING &BLDG DEPT 9 1 1 NUMBER REFUND DATE III DAT 1, iISSwED ;1 BUILDING OFFICIAL 1 (I3 ((( ! ( 'K a • •evivt Parke � \'i J gue. E ov„e: 93S epic Cf.S£ 12a CA U2o. e Koac� 1_.oeatect iv, fie g J -c Pasc-c4 1\10.25 recovd2d ivy Ncyrt-I1WQSt- Qvarte_Yr �clem• ,oe_��3� port Towvlsev \W�t R� �2 vol�vn2 8 of sk.�qes, Pag2 t26) ef• So3_3G�( ©33p Records of J—e fvsov, Co,. tWA ; � � 3Ot v1r\ P 3o Nov�11 _� )� \ • ,\ i /� ., w — -- — - Rav,ge t west ``--_ '''\ st.i j ',;'• \ \''.\ \ •/;.'",,\': I \\ 1 \\ ti. 14 47:P' , a' % t •� I ,.. TQ �{�Soh co. ,,.,r i(*.'','PJ,e,_:;,;(''''?-\ ---•\\ \ \ ' ''`\ •- / - `I' '' -‘\ . r.: -, ,s• -:•-i•-.-', ., \ \ , \\-...:, \--: • •-,.--:- ‘Vt\\ '-`---:.--N-- )') t\V\ \ ', - - •:, .k 't. ivit 1 /1 \ '2\ .:•• \\.\\:.••• \`s ''----2'''s, ‘-. -7 ---\ -'7 .:::`‘'7,1/\,(ii Y•.) :2 ':\';‘ l','1, 1.'''il:.‘71:•) .' \ •s \‘' \ TRA , VP9' 'ti•T\OW \ / \--,•,-----7 ,,,, :..\--,,,, \,•\ --F,--,f--.-----_----,,,,/,;:44 I., ;\ . \\.: 1 /) , .( : 1/ Ns' // ,..._____ ------...-/.' • .. ' ' t.''•- - ; : i \.,\( 7 ,-_-\-\... .....!_.9 7---- ___„---;-:-;::::----,::,:rt(c.r..__.. ....-----. 1._-: ,.;\ (... ,........ ...-;\\ •,:::.\ v..;...ii.,- 4,:41 ,,, , r I.. , ,I,.........--y..../... -... r 't , ( -:.'"\\ •.• ) / i - ,; i \'•\•V•"-7 ; • N ' .., r,_ ) ) /I C,/( a:l (/ /;/;; _ ' n l \ _ k i _ , „:,/ ., ,. C\---\\\,,...\ N., \ li i ., 1 , \\ ..,/"'''s /I : ' • ---L-- , - r fit`+ Tit I I l //, ' �� '/� %/"i �' �` \ ' !/ t,F� / ' ')\ ,'''''t \'" - '''-' f y f, ty;-::- t' `` i. !• \ \\ / //j/ ) (i� 4 \ I ' : \. ' k'' ,:- \ \d r V i T( ( � 1 it \1;;\\\� - �• ��, �{ � }`�'• s..,..4 ljUkY�_1. � 1 \r �\ .�\ � \✓/ �— ' ,, ., • }, ---....,R, •f.1.Ay,'",,X..ja-- .\,•.,-,,1-,9L_ Li:_ter' , /17/ ' / ; \ \' . - '-....--7-------,•,.-.;: • • ' \ s' - . ' � �, _ , hhta ll �'`� j4,,�i MG,e7`tx0f _i„11 _ ,• \�/ � • • `- - , f•! .. • , .1,2),`I, ....". ,,.._''''.''0".4IP'C;Ja'n I '1 "IJ''... ..t. V • /,/+./fir 1«} ..-. Y , J i I» a - 1\ y�C/ \ • n r S • • • • • IP r‘' 71/8 j 6L) 6.)iitta 6 1-i- cAt d