HomeMy WebLinkAboutBLD1988-00389 BUILDING PERM; APPLICATION • -
Jefferson County Building artmentt• Get tt:eu,w •Port Townsen , Wash.98368 • 385-9141
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I. LQC(sijON: geographic name S W SIDE OF ROAD FEET
FEB 4 1366N E O �,
.(j�,�,`` S W FROM INTERSECTION OF ROAD AND r{ i , ROAD
,IEFFERSON COUNTY
ZIP,dNING&altf it ssPecific location or landmark:
., )
LEGAL DESCRIPTION:n �� ��lc l &n /V
--, P PI '2L L- Lot Block Subdivision
x tE.
NTax Number %Section Section wnship Range
g� II.TYPE AND COST OF BUILDING-
r, TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY •
New building , Single Family
❑New County Resident
c-'`' " ❑Addition ❑Multi-Family Is this structure to serve the residential
number of units
� �� ❑Alteration or commercial needs of those employed
\,..i ❑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
Private (individual,corporation,
nonprofit institution,etc.) .y� ` -.Z> and Home: Recreation Cabin,etc.
❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP:,L� ❑Second Home: Future conversion to
permanent residence
COST (Omit cents) Nonresidential- Describe in detail proposed use of buildings,e.g.,food
r\/j • Cost of improvement $ processing plant,machine shop,laundry building at hospital,elementary
1\JJ�`✓' To be installed but not included school,secondary school,college,parochial school,parking garage for
Pin the above cost department store,rental office building,office building at industrial plant.
J a. Electrical If use of existing building is being changed,enter proposed use.
Q. b. Plumbing m — q'q zzfr a 3s-, - 3Oago
c. Heating,air conditioning P —
17D 7 Y-' /6. — E 000
d. Other (elevator,etc.) � Frn r f' v 3 �l/ /j1
• TOTAL COST OF IMPROVEMENT $ r r ' Y J C71`-�l
emu`' III.SELECTED CHARACTERISTICS OF BUILDING -
5 /� ( / DIMENSIONS --LL-i PRINCIPAL TYPE OF FRAME TYPE'O S€WAGEtDISPOSAL
Masonry (wall bearin ► •Number of Stories
❑ g ❑Public or Private •Total square feet of floor area,
10 �0Wood Frame ,ndividual septic tank ta) all floors,based on exterior / &Y
rr❑Structural steel dimensions •
—C ❑Reinforced concrete TYPE OF WATER SUPPLY •Total land area,sq.ft. 35a"
El Other-Specify �❑Public or private company
X individual (well,cistern) NUMBER OF OFF-STREET
PARKING SPACES
Enclosed d
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE
at
❑Gas (""Pr-� STYtN I0-L*- Outdoors
❑Oil S - RESIDENTIAL BUILDINGS ONLY
$lectricity Number of bedrooms mct
❑Coal TYPE OF MECHANICAL,
❑Other-Specify /
0 , , Number of Full /��! 1
.)‹ bathrooms
flrf�4 TlL Partial
IV. IDENTIFICATION-
Name Mailing Address-Number,street,city and State ZIP code Tel.No.
1, A Lc�rt- R,(_(-j ) t 6 oo L 1 o' el 0gwner OAR BA- E-STI�i� C LJW1 C�Gli 1�> w cikvlO -/75 o'3J
2. V ( Ofe) C
xcontractor State License No.
,3.
Architect
The owner of this building and the undersigned agree to conform to all applicable laws.
Signal of applicant p Address /Application date
/ 6-0.6 /02)1 A/ Ec 1 A void.: , uil;t ,> 8.-0k) 1 kr
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
APPROVED BY -
�`", ele-Gay,°�"°�"�rt'i
JEFFERSON COUNTY HEALTH DEPARTMENT �
APPROVED BY ►PERMIT FEE ISSUE DATE RECEIPT NUMBER
A P P 3/ h.,...i
® 1 3y3,cJt�
BUILDING'C7fticl 88 1 J ` 0-0 j7.) \,75- )-----((l'9
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JEFFERSON COUNTY y 3 �' j 0 �/ /0
PLANNING&BLDG DEPT v ntery-Port Townsend ( I
JEFFERSON COUNTY
j� PLANNING AND BUILDING"' � 7 DEPARTMENT
I ', t! :�
j �r',r�� �r ;ay �. 6,�..'�°''gF. P.O. Box 1220
r -; '„.» ,;: .�"�. , •jf� Port Townsend, Washington 98368
..t•4"" "` i .1, i'� - t, Planning(206) :385-9140
t ' r_.:t_zl� l�r�✓s =,�' Building (206) 385-9141
JEFFERSON COUNTY COURTHOUSE David Goldsmith, Director
March 3 , 1939
Mr . Albert Richard
1506 10th Place North
Edmonds WA 98020
Re : Building Permit Cancellation: Section 32 , Township 30 North,
Range 1 East, WM.
Dear Mr . Richard:
A building permit was issued to you on March 7 , 1988 . A progress
check was conducted on March 3 , 1989 and found that construction
has not begun. Construction must begin within the first year and
one stage of construction must be satisfactorily completed.
Therefore, in accordance with the Jefferson County Building Code
Ordinance, your permit is hereby cancelled.
If you have any questions , please contact me between 9 : 00 and 10 :00
a.m. , weekdays at 385-9141 .
S ' cerely,
Michael Ajax
Building Official .
MA: ak
s\
APPROVED
MAR 7 a tc.,,
JEFFERSON COUNTY
PLANNING&SLOG DEPT
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