HomeMy WebLinkAboutBLD1988-00356 BUILDING PERMIT APPLICATION
Jefferson County Buildinpartment• County Courthouse • Port Towns Wash.98368 • 385-9141
N E .
I. LOCATION: geographic name S W SIDE OF ROAD FEET
NE ( 9- \ ll��
S W FROM INTERSECTION OF ROAD AND (0 a>J �(.O,0_lit OAD
other specific location or landmark: OI /Y�C�-�(-1v� CALLA .
PLEGAL DESCRIPTION: 3
(('``��(\ (1 /�/yi I�_ Lot BlockreR Sus 1
" 4-i IV C OZ3 Tax Number %Section Section Township Range
II.TYPE AND COST OF BUILDING -
•
TYPE OF IMPROVEMENT BUJ L ING TYPE MOBILITY
...���❑,, New building Single Family ❑New County Resident
ddition ❑Multi-Family Is this structure to serve the residential
number ofunits its
❑ teration 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
�� OWNERSHIP c kS CilJ,-1 USE
—' ( ❑Full-time Residence
Ni c/J ❑Private (individual,corporation,
J nonprofit institution,etc.) ❑Second Home: Recreation Cabin,etc.
El Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: '.3 El Second Home: Future conversion to
�'f permanent residence
c\C3 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.
i a. Electrical If use of existing g building is being changed, !�/enter proposed use. /�
be b. Plumbing (RO !' la e-/0 7 7 . s--` LV/g�('
iso c. Heating,air conditioning ((
Cr- d. Other (elevator,etc.)
• TOTAL COST OF IMPROVEMENT $
III.SELECTED CHARACTERISTICS OF BUILDING -
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS
❑Masonry (wall bearing) ❑Public or Private •Number of Stories
f� •Total square feet of floor area,
QC) Wood Frame
Wood
�ndivi eptic tank etc.) all floors,based on exterior
Eluctural steel / dimensions
TYPE OF WATER SUPPLY
❑Reinforced concrete •Total land area,sq.ft.
❑Other—Specify Public or private company
// NUMBER OF OFF-STREET
❑Individual (well,cistern) PARKING SPACES
Enclosed
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE
❑Gas Outdoors
CD on RESIDENTIAL BUILDINGS ONLY ,
Electricity Number of bedrooms 3 e1plklS
TYPE OF MECHANICAL
1❑Other—Specify Number of Full e.x ,
bathrooms
Partial
IV. IDENTIFICATION •
-
Name Mailing Address— Number,street,city and State ZIP code Tel.No.
1. 2QIt)O 1(!) gleC, . gi,— ? — 4/093
Owner C/
2. v\12pr- d
Contractor State License No.
3.
Architect
The owner of this building an he undersigned agree to conform to all applicable laws.
Signatu e o applicant Address Applic da ion te
f'` id— G.4'A.Q.--- V 4 Ill/
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
APPROVED BY r o�
JEFF �P_ CO NITYIf �HEALTH DEPARTMENT
APPROVED : 4, 0 PERMIT FEE ISSUE DATE
RECEIPT NUMBER
o cg rO
,R 5 1988 .3,5-0 //3C/ ,2
BUILD F �- 3 03
NN iNry fl 1 1 67)
The Printery—Port Townsend T, 1 -4 1.0 c 1 A5/
• 0
?o ' -
. _..
5 .t
-I
,0 il 7
0 .102
—I—
'4- R...- Y \ f\--i-,\\ •
_ !
, .
.--.‘
ali - - 45'a"
- Pro r.,,osed
i Acial 4i i y•
, I
. Cs, r
-
CNQ
,.. \
1
1 ... ,
1
1 \
1 I
I
; .
i 1
1
t ,
1 ,
V77 1
. t
s ..
OS
IA c:1\ ON
a ,
_ 1
. .
..._
. .
0 a .• 2 o' - .7...:
1
. . 4, Li,w
• _
-----K
0
... tz) I
a 7 ,•
1 ,,z
...
(..,, ; • - .
.,
• . ; ,,,,
. --
.,;w4r.....z.,,. ; , - . jj.•,ammajoipl,' .. ..i,t, ., 1\\
r- ,
ota Q 1
....
. 14 pi u7l4 °
7.,,....01. ...\' 40.00. ' ...\\
x °
4 AK 0 14
0
.41 Li il ;OD
! .
.i • ni.,.‘$*---——,--—,==—7..e
.K. .
oa ,
`,.....,. .
.... _.
„ .
\
, s ......
i 01 '.i- 17.001E.14 IF
...,
\ 4 04 _ (oL.._.......„....... ...J.., IT . '
I
x 74 • .*. a ' t 0-1: . ,L
— 0
s . .. i /
-• \
.F-
0 i i , . ,:_,-, , ' . _ .... __.
......___................
' , ,
i• ' • .t „-
I .
1 ;
. i-• .
1 • t.-,-, r
. .. . 1 '-
1
,....
, I m
. i ....‹ _.•,.. (,,
Tv„ 1 r 1' •
: lc
) IN. >i Crt i• . . ,
r -r —
r • ..14 Q 01 1
77, i 7 174 1174 f
cri r i .iri !"IN— !ii3
A - - 4i
-i-
;,.r
L_ _....‘
.‘;-• ' ‘Al` "t.... ..
..1:. . -....,
.1"
:Z ;.
.
. ,
...,.....:,
i +.7'e i , il r•I , >
A ---,
0 , i Ai ..,:•
i , •.1‘ •—. 1 Z' IV
to , >
•.r. ; , r. \
si--- •
r iI CV' li o' i
1 ,
— --.1
1>
. 1 '. el •
. I
"L. . ' 1
ICI OF 0 T . _
m -
vt 4
. •Cs --_
• 1 ,
. •
..,' 24 e
- _,‘
A „
Al
-%
21, g , L___/-55.4/___A--- zt5 co7
dic...
i e 7-..tc,c4c..5
..5‘)q
0 C-
.....2.-
---‘
b ta,,,A------
( 0_,...1/4
C,. tct—0--t\_____-----
S4,---",-
..,.
3 I 3 1 /(2 CI°
.._
„.. .
.„ ,
,..,.„,t ,,
7 i „,, ,,,,
,,,,,,
, ,
' P
,..-,
i---,(_.t_ Ci L. 'e
(
k'
bE C I
,,,„.„....' ,
/
1 1
1 1 i i
LI i /if ( 7
i f
, _
, f / ------- P
, i
_._
...,...._.
,._