HomeMy WebLinkAboutBLD1988-00394 Ba_DING PERMIT APPLICATION
Jefferson County Building Depot nt• County Courthouse'.Port Townsend, Was).98368 • 385-9141
N E
I. LOCATION: geographic name S W SIDE OF ROAD FEET
N E /� l[
S W FROM INTERSECTION OF ROAD AND 3i Jq i f 1(.F_s`1�35 Aue.. t...QJ ROAD
other specific location or landmark: PT.
LEGAL DESCRIPTION:
Pa rc e( 4 Lot Block Subdivision
Tax Number %Section Section 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
`', Jc)rr,- , rouged
USE
OWNERSHIP
❑Full-time Residence
❑Private (individual,corporation,
nonprofit institution,etc.) ❑Second Home: Recreation Cabin,etc.
❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: -3 ❑Second Home: Future conversion to
o 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
h 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 /)lq >( 6 : ] ) a 4 8 _ 6q(o
c. Heating,air conditioning
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
Wood Frame •Total square feet of floor area,
❑Individual (septic tank,etc.) all floors,based on exterior
❑Structural steel dimensions
TYPE OF WATER SUPPLY 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
CI Gas Outdoors
❑Oil
RESIDENTIAL BUILDINGS ONLY
❑Electricity Number of bedrooms
❑Coal TYPE OF MECHANICAL
❑Other-Specify Number of Full
bathrooms
Partial
IV. IDENTIFICATION - .
Name Mailing Address- Number,street,city and State ( C�`1��
ZIP code Tel.�No.
Owner -nrrM 4 1 (2 .N. n�llo,rsohf f ac� -I
i-)a_ Q .^/,eYG.-
UCA--O-hy ) ab Ion 7 7--.(
2.
Contractor State License No.
3.
Architect
The owner of this bui ' d t undersigned agree to conform to all applicable laws.
/Sign r plicant /1 4e........_ AddressApplication date
105.P 1(88
PLANNING AREA \ FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
APPROVED BY
JEFK COUNTY\HEALTH DEPARTMENT
APPRrek O V E O PERMIT FEE ISSUE DATE RECEIPT NUMBER
c25 t CO
3,SO Q.070z183 3 ( 14d
BUILDINI6FFERM'MINTY n 50
PLANNING,&Ride nrPT p`VQ
The Printery-Port Townsend
• .,J!
-
'
1
S 02' /9' 44" p/ •I
O— — -- —
533. 74 \• •
V I
'} y 1
. \
Q ti
ti
334.0 7 ( 1
44 . .. c-;\ %I .41 ,-4. on
• a .* I Q o ekty .1
,.'1 4 44 1 InN 44 k) 4 /1,----:—/-
�la c",
i
{ 334.41 • t {. 0 A
r I •
S 02' l9' 4a" )1/ `� I
I
h ca' I v N of l h
5 N
' it".:,w.s..' \ c4 ( (I
h
\ co mir• 1_ ,c) t•1
N. \ �o41r 1 �\
p
� S02` /9' 5Z" W �ti
\ F�„, el, 335.04
\ -off 0� � h I
•
\ . .- 44 06 •
w 14%.% N
co O \ '2f. hi Ni
,
Zu
CA
-N, -.N., ,\--s.------
" ; \
I \`
H
— — — — — tr — —
41 i
I
•
° e hflLLdE I Roils!) I 4I I
e I x ., 1 . 1 t: . ° I
I
. csi I ‘41 \1 I tiQo
`t' ' 1 I 1 A.
1 ...„.,,,,..:.,....). ',.. 1 I ./...O. ›- N.11 \ ft
APPROVED
JUN 1
JEFFERSON COUNTY o
PLANNING&8LOG OEPT
0