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HomeMy WebLinkAboutBLD1988-00315 BUILDING PERMIT APPLICATION ' Jefferson County Build,, epartment• County Courtj ouse • Port Tow -/, Wash.98368 • 385-9141 N E I. LOCATION: geographic name S W SIDE OF ROAD FEET N E S W FROM INTERSECTION OF ROAD AND 6)0I/ F/ ( %. 61 ROAD other specific location or landmark: LEGAL DESCRIPTION: 9 141Le_a 4 Lot Block Subdivision Tax Number 'A Section Section Township Range II. TYPE AND COST OF BUILDING - TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY 1,":'' New building ❑Single Family ❑New County Resident ❑Addition ❑Multi-Family Is this structure to serve the residential ❑Alteration number of units_ or commercial needs of those employed ,s ❑Hotel,Motel, Dormitory El Repair,replacement 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 OWNERSHIPlit.]Full-time Residence qPrivate (individual,corporation, nonprofit institution,etc.) ❑Second Home: Recreation Cabin,etc. ❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: 3 ❑Second Home: Future conversion to permanent residence COST (Omitcents) 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 ` I 1 'Y to c. Heating,air conditioning ✓ .7. d. Other (elevator,etc.) M. /p �/gA) � " 7-4 /OC .J • TOTAL COST OF IMPROVEMENT $ W��C` /7 III.SELECTED CHARACTERISTICS OF BUILDING - PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS ❑Masonry (wall bearing) ❑Public or Private •Number of Stories t •Total square feet of floor area, i AO ❑Wood Frame X/ 9 Individual (septic tank,etc.) all floors,based on exterior ❑Structural steel (_'\, dimensions ❑Reinforced concrete TYPE OF WATER SUPPLY •Total land area,sq.ft. ❑Public or private company Other—Spe�*{fy NUMBER OF OFF-STREET Ty Ct�(L�0_ „��. o < Lip Individual ( cistern) PARKING SPACES ��.�. J Enclosed e PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE el, ,,, ❑Gas Outdoors Cr ❑Oil RESIDENTIAL BUILDINGS ONLY Electricity Number of bedrooms ❑Coal TYPE OF MECHANICAL ❑Other—Specify Number of {Full. ..i.. V bathrooms Partial l IV. IDENTIFICATION • - Name Mailing Address—Number,street,city and State ZIP code Tel.No. ,. ),Qtf e V Ai A 6 r 6©/ k%. E (,' ci I k 2 c 3.2..3 232 y//> Oyvner /fit 2. �Cpntractor State License No. 3 Architect - The owner of this building and the undersigned agree to conform to all applicable laws. Signal of applicant Address Applica ion dat C. PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVED BY r I i ot( J Liityk JEFFERSON COUNTY ALTH D PARTMENT APPROVEp�Y:_ PERMIT FEE ISS E DATE RECEIPT NUMBER § ee ' 3 .St LL 75 BUILDING OFFIC AL S— ) �� IFt`t � V v PLANNING& co (v /7/, Lilt 3/SV &Slat;APT The Printery—Port Townsend • 14_, _ /\ ti \c) 1 /tk , (,.) , ,, .. ._. . �" '1 l ,06.: 1201 fib;t' O ct8 / 7"7, C 7Arn( V ---- -.� .24./)/A% FF ct P V APPROVED JEFFERsail couNre MI 1 5 OS 0 IC w, PtiaNNNG&BLDG DU'T i3) he( t KJ\-- s 7C2 SAL, 663 f j . tc kosagellminwo 601 I .. EGG & I :RODI ...._ _ LEE, LARRY ....,„,„ _. :, .., '. !.,to 4 :IR'il 1111, i4144Z4r,,,IAt,,,,,,J1 1,,lihottr''' 'O. Illt 11'1j,,1111,11, )11, ,zityll 1 1.4 )iLll'r I 1, A . i 1111'1 '111' a onviaaltglor'r-' - ,,I!.1'1Iligi,'4 '.:,"4101111111WERE0101010 . ',',71,110111Z7tY,-..:11A10,i,,,,,-17F-7,r,r1111TiP,' %•..iiiev,,