HomeMy WebLinkAboutBLD1988-00354 BUILDING PERMIT APPLICATION '
Jefferson County Buih•Department• County Courthouse •Port Tot1d, Wash.98368 • 385-9141
N E -
I. LOCATION: geographic name SW SIDE OF ROAD / ,o / FEET
S W FROM INTERSECTION OF ROAD AND D(./ l X. i D
other specific location or landmark:
/�LEGA,L D�jS�C IPTION: �J ,�
T p n V ` Lot /� 0116
./% Block _,. ,� Sub iiviisior-, ' , l
9.
(J01` t 71 5-/, Tax Number '%Section ection Township 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
❑Alteration number of units 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 ❑NO
❑Foundation only a cju-rf &,1 (ASP/
USE
OWNERSHIP ❑Full-time Residence
❑Private (individual,corporation, (-4-11q �,nonprofit institution,etc.) ❑Second Home: Recreation Cabin,etc.
7
❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: i- ' ❑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 plan
V
�/ a. Electrical If use of existing building is being changed,enter pr..•.sed u ii
. ) b. Plumbing /ID(/ :- ' VIQ • — 7_ LEA
iQ c. Heating,air conditioning
C� d. Other (elevator,etc.)
v • TOTAL COST OF IMPROVEMENT $
III.SELECTED CHARACTERISTICS OF BUILDING -
:t00 PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS
Masonry (wall bearin ► •Number of Stories
❑ 9 El or Private •Total square feet of floor area,
ood Frame ❑Individual (septic tank,etc.) all floors,based on exterior
0Structural steel dimensions
'
' ❑ TYPE OF WATER SUPPLY
Reinforced concrete •Total land area,sq.ft.
❑Other—Specify ❑Pubfic'or private company
NUMBER OF La (well,cistern) PARKING SPACES
STREET
Enclosed
PRINCIPAL TYPE OF HEATING FUEL, TYPE OF FIREPLACE
❑Gas Outdoors
CI oil RESIDENTIAL BUILDINQSONLY
El Electricity
Number of beddr Ms
CI TYPE OF MECHANICAL
IDOther—Specify
I�tr ber of Full
-'bathrooms
j Partial
c--•11/. IDENTIFICATION - •
Name Mailing Address-- Number,street,city and State ZIP codee Tel.No.
1. ��e5 LK00 'O 41.. R)c-z- �6� -y9/
Owner r auk
Z-
Contractor State License No.
3.
Architect
The owner of this building and the undersigned agree to conform to all applicable laws.
igiature f lican .........4:44Address p lication ate
��/ 0 /f U\/` --
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
APPROVED BY
JEFFER3AI It.' 1{ry t DEPARTMENT
APPROVED BY: i ' PERMIT E IS UE ATE RECEIPT NUMBER
S'P S_ ,._ 3 , 5-E) V/ 3 G
i JEFFERS N COUNTY s........3
��
BUILDING OffiAIV &BIDG DEPT I ;' ' -
�.
The Printery—Port Townsend
. i
----"---...,_,„—...--
U\
..i..7.......— ___ vs_
rn
.....,„ s.-- .
5L-t. -*".4 , ...... • 1 'k
.._ k I-4.
......v.,
..! I
, s...,. c. ,...„..
V\ ‘.. . r ''' c ;. s•ss..2.S
---...t... H
f .• N. '6..",..
',..........P....,'..,..\ ... V&I 1 !
_ Cs.
, i \
't
•••••••=0.„ r, C\c‘l '± ..”
i! .......
%.....
\....
ta -----k ;
,...,.z
(--' 6......
..--.-... ...,
) -,,--- ,,
1 1 i
c--,
: 4--________
1 ........„ 1:".,2:s.•
(..)
, ! ,
i . ts-----
. i 1
k..
. . ,
4
APPROVED
SEP 1 8 74,0#m—
JEFFERSON COUNTY
PLANNING&BLDG DEPT
�l /s-/z?. f x�
*-succ4. —
A-- /3 , .9
/qa T-
ee ),:t
/a // Oe_e_L)1_ ZeiH iy-4.Pp/