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HomeMy WebLinkAboutBLD1988-00358 UILDING PERMIT APPLICATION . Jefferson County 111 Buildingrtment• County Courthouse •Port Townsei /ash.98368 • 385 9141 N E I. LOCATION: geographic name S W SIDE OF RAID FEET NE S W FROM INTERSECTION OF E�/) ROAD AND Q10 1 ° �I ROAD other specific location or landmark: L. ( rn P (1�rn a ' J d Li LEGAL D SCR PTION: C9€9 e) P(�(� Lot Block Subd sig t� L�J�L��C�_��TTaT�� d I� _ac.,,,,L cn c, ` 7 Tax Number %Section Section Township Rang II.11l CTY E 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 USE ,,,, OWNERSHIP h.) P 1 ❑Full-time Residence ❑Private (individual,corporation, ❑Second Home: Recreation Cabin,etc. nonprofit institution,etc.) ❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: / ❑Second Home: Future conversion to ' f 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 t, 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 industria lant. a. Electrical If use ofexisting building is being change ,enter- p °sed-�use). b. Plumbing 'C C) X L O '-- 7, 1 �V v cRga c. Heating,air conditioning d. Other (elevator,etc.) • TOTAL COST OF IMPROVEMENT $ `} III.SELECTED CHARACTERISTICS OF BUILDING - p PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE. SAL DIMENSIONS ( El Masonry (wall bearing) ❑Public or Private •Number of Stories •Total square feet of floor area, rWood Frame '- Individu I (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—Specify NUMBER OF OFF-STREET ❑Individual (well,cistern) PARKING SPACES Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE El Gas Outdoors ❑Oil RESIDENTIAL BUILDINGS ONLY ❑Electric' Number of bedrooms ❑C TYPE OF MECHANICAL Number of Full Other—Specify bathrooms -,✓ Partial IV. IDENTIFICATION- • /� ' Name� Mailing Address—Number,street,city and State ZIP code-) Tel.No. 1. it)Or- v v t 1 1 (R ' a ,, M?Si Owner r'\ VCac � r� If�' -� is4,0b0-4-t-ICZ 3coo ( 1--. 0J in( x � 791torcti State License No. 3 Architect ,1 Thoner of this building and the undersigned agree to conform to all applicable laws. Signatu a of applicant Address A pplicyion da 1-- ,),c W '../ _i-Liti\Q_ Rs rt-h 1 PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVED BY Off( < /(2 JEFFFERSO CO ►I HE TH DEPARTMENT APPR Oil EP . • 1fillk PERnTFEE ISSUE DATE RECEIPT NUMBER get 910 e /./7m t 3,CD / F 4977 gee V BUILDI(OfQFFICIAL q F{AyHltpG&8lo uhl y ! �i�J� /� 6©fPT The Printery—Port Townsend �l t� -ID Hi 113 'Cl/ C J ,//_/��( APPROVED �- -- FES 1 " at_.\L-S 'C '"4\44% S\C'7 " c-9 o 3 a(?) �•�l lc C1__) s F-,t vL I.S J�lo r C Lte w.b JL , 6 OL,JV S cc�.Qcwti_ 1 I/ 3/ (S) ,\\ \ pSJ �11 i'\(0-b V__e t) L-f-vt ff.,5 . I r t , Apt I 2- 1( jp L6 1 l 7`X 3 v 101 TA 16 fi ) 144 r ICa( ( y /Id S 151Ba` -7-17-4, -M----- 0 2- bzata -b O Pq1/4"‘"- tA4.-vc b‘ts:).n ...-LIT—s (.., a"""1-.,,,... \,,,, bL -- cc.y(...t-cdv"- rv ) -"cf. 0 t"1-1-k ' 40‘s,.- A.v.4. Dcz.L. cu.)CI A.4 Is-r,-- D e.40 ta4,...w. 40 1?23 It L Vrc-c 4' 03 t.4-6,4 Ai k NJ... ----bo...s iktus... , (11:10W Wir4.4),A3 u...1‘.t, I kta-I-v.-kAkct ot.- ---te„t_. s A moo.. ,..,.._