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Home My WebLink AboutBLD1988-00382 UILDING PERMIT APPLICATION • Jefferson County Building Ortment• County Courthouse •Port Townsen'ash.98368 • 385-9141 i N E LOCATION: geographic name S W SIDE OF ROAD FEET NE S W FROM INTERSECTION OF ROAD AND ,,{�. (�k. 5t txii\) r t/ Lt A(rr other specific location or landmark: Ya 1 OW V4 io( l/t--/ N 'E. LEGAL DESCRIPTION: • P/Z ) -' Lot Block • Subdivision � � 1(� � ( Tax Number /.Section Sectio Township Range II.TYPE AND COST OF BUILDING - TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY .ew building ❑Single Family El New County Resident ❑Addition ❑Multi-Family Is this structure to serve the residential ❑Alteration number of units or commercial needs of those employed ❑Hotel,Motel, Dormitory at either the U.S.Navy's Trident or ❑Repair,replacement. number of units Indian Island Facilities? ❑Wrecking Mobile Home ❑Moving (relocation) ❑Other—Specify ❑YES ❑NO ❑Foundation only OWNERSHIP USE ❑Full-time Residence ElPrivate (individual,corporation, nonprofit institution,etc.) /� 0 Second Home: Recreation Cabin,etc. Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP:J C� El ❑Second Home: Future conversion to COST permanent residence (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. a. Electrical If use of existing building is being changed,enter proposed use. • b. Plumbing r' c. Heating,air conditioning d. Other (elevator,etc.) /�� j2/1,aria 7'�l- `�1 • • TOTAL COST OF IMPROVEMENT $ ( // (V (� t)(7- 47/6j44 -y III.SELECTED CHARACTERISTICS OF BUILDING - PRINCIPAL TYPE OF FRAME TYPE OF SEWAGEISPOSA1I DIMENSIONS Fes' ❑Masonry (wall bearing) ❑ •Number of Stories ublic or Private ❑Wood Frame al "' i. •Total square feet of floor area, `� 1ndivi (septic tank,etc.) all floors,based on exterior El Structural steel _ dimensions ❑Reinforced concrete TYPE OF WATER SUPPLY •Total land area,sq.ft. 5 . `Other—Spe f� ❑Public or private company Der NUMBER OF OFF-STREET Ilia"? 6 �Y � ndivid4l (weI cistern) PARKING SPACES PRINCIPAL TYPE OF HEATING FUEL Enclosed TYPE OF FIREPLACE ❑Gas Outdoors ❑Oil /j RESIDENTIAL BUILDINGS ONLY '`� Electricity Number of bedrooms _.2 El Coal TYPE OF MECHANICAL El —Specify Number of {Full bathrooms Partial IV. IDENTIFICATION- • Name Mailing Address—Number,street,city and State ZIP code ✓) > Tel.No. Owner 3 f,�,v • quo 7 2. Contractor State License No. I 3 Architect The owner of this building and the undersigned agree to conform to all applicable laws. natu 'of applicant Address Appl'cation to 1 -'‘N 4>(----(:•,-&----6-7 AI--2--,-1.40 -.6_ a-7-A.e 19_- )4ate 1 R.(o/ %6 PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVED BY o IA 13y gitite 1-1,..„.4 ,i.z, 14,, JEFFERS° C NTY HEALTH DEPARTMENT APPAOgiEft v� I/ PERMITfEE ISSUE DATE 76 t (i RECEIPT NUMBER JAN261998 � �'S � ( BUILDING OFFICIAL ` —^ \ �� ? 5 s . JEFFERSON COUNTY SZ) PLANNING Si SLOG DEPT The Printery—Port Townsend I l I e___ / ) �(/ 1 i A\ A ... a1 ci � � aj I lei i � N ‹,, \' t / ,_' o\ 4 1 I, 0. la- ` - R ; , APPROVED g6 —r SS a ..-A, ' *WW1 C:uun`r ‘tri' 6 v�G //l c; Gji___/,„-, k()) 0___Tt,z.„' , i Ia Co p — pouu ,,,,,,0 -9,„ -cN.--f4.4--1 , u)' a ft-Ci, WA sp.ti.,a' , • ,ti_ t .c-vrViierdirjertir IA r APPROVED JAN 2 6 1988 le,----Z 6- 40-c.-0S Prn-ea eci. it-a,, ki Er., �n l iV lcl\to4.kic ©w-e JEFEERSON COUNTY PLANNING&BLDG DEFT Z s'a.02.1a 1.1% — C a ,`t- C e,.k- Q a ¢ 2 W 1--s t-e L.,_ 0 (.5z___0L II3lfrb7c1 l 7 ' --:-2 7 (5T - 47 ,,,,----z-,, 0 -,--,....- .