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HomeMy WebLinkAboutBLD1988-00418 BUILDING PERMIT APPLICATION Jefferson County Building Oirtment• County Courthouse •Port Townselfash.98368 • 385-9141 4 N E • I. LOCATION: geographic name S W SIDE OF ROAD FEET NE S W FROM INTERSECTION OF ROAD AND CC; \ IP D I H IJPROAD other specific location or landmark: P l-'— rEGAL DESCRIPTION: circel 'cj Lot Block Subdivision 8�a ©LJ2 oo - 60� �� 3 7 a 1� Tax Number '/n Section Section To wriFh ip Range II.TYPE AND COST OF BUILDING- TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY lewbuilding ❑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 El Repair,replacement ElHotel,Motel, Dormitory at either the U.S.Navy's Trident or number of units Indian Island Facilities? ❑Wrecking ❑ ' obile Home ❑Moving (relocation) ►: Other—Specify IT!YES ❑NO ❑Foundation only GOTO3P 7S 1 0 1° OWNERSHIP USE ❑Full-time Residence ❑Private (individual,corporation, ,,1 nonprofit institution,etc.) ElSecond Home: Recreation Cabin,etc. ❑Public (Federal,State or local gov't.l UBC OCCUPANCY GROUP:/ �iF,i ❑Second Home: Future conversion to 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 in the above cost department store,rental office building,office building at industrial plant. a. Electrical If use of a J existing building is being changed,enter proposed use. ---" b. Plumbing � x��l — d f V ( I ) I/�JO c. Heating,air conditioning d. Other (elevator,etc.) • TOTAL COST OF IMPROVEMENT $ 4, III.SELECTED CHARACTERISTICS OF BUILDING - PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS f s ❑Masonry (wall bearing) ❑Public or e r •Number of Stories •Total square feet of floor area, :,, Wood Frame rL-I"ndividual (septic tank,etc.) all floors,based on exterior ❑Structural steel dimensions TYPE OF WATER SUPP ❑Reinforced concrete •Total land area,sq.ft. El Other—Specify ❑Pu ' private company Individual (well,cistern) NUMBER OF OFF-STREET PARKING SPACES Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE ❑Gas Outdoors 0Oil RESIDENTIAL BUILDINGS ONLY `' - F Electricity Number of bedrooms /❑Coal TYPE OF MECHANICAL ❑Other—Specify Number o Full bat ms Partial IV. IDENTIFICATION - Name Mailing Address— Number,street,city and State ZIP code Tel.No. 1. 'Fra(, ,JY10I Vkp1tnm1 Owner 2. -�,` COns—Y'. (5e) Cord r)r, Ln ._P ` 1f3,3 4/37 COntra or State License No.�N aa m2re `���� � 3. Architect r The owner of this building and the undersigned agree to conform to all applicable laws. • Signature Of,•pplicant Address )nv// /y�� Ap�pllicationn date vat/PC( 8 1 PLANNING AREA/v=s_ FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVED BY IIIitcY HEA TH DEPARTMENT PERMIT FEE ISSUE DATE 1,35 • 00 RECEIPT NUMBER JU 188 3 , 50 BU7/7 ..4s l q(c) 77 r -t O ;.:.. 1 , +8,50;07e Printery—Port Townsend ...... • • ....-• 1 1 0 . .. . o •-t , in ..-- • --# -----I- . --- - , 14 fiC : v4c. , , ! ! AT • I : . RD I ! -71:-.' c---- ,\ G C. \ a G, < ' .--:• Z C. i : -w. ri • i i ; 1 i 1 , I r,, ! i ! 1 ! . L4 , : ' I : 1C . .I•i ‘ '''''• ' , : 0 , -.) 0 Ail P•t , -4 ro r, 7-....,,D.... ,4.-- •1 : c C 0 ;\ .--- P !.; : 1 Qe-- .1 1 I ! !! c• .,..... 1 1 I ; I . i • 1-• , ; •-• C::' 7. . . , •, , I : 1 i ' •-• 4 4 i ;.k T r•-•°..° 1 1 i • I _--------",------- i . - .. -------- -------- _ • ,_, , ,------- ,--""--. ..------ ........-,- __ , ....---- __ ...--- __ - ..---- ...._ _ - ------1 i .„...---"---• _ g(;) '--. !0- 1 \ 1 I t ; .\ 1! 145 i----- ----- ; , c•,, t - I N' II ‘ q , 6 1 I . i i 1 . __---- --- . __ ---_ ____ /7 ",:or.O.L. __,Fifie4A to vP4-0/i/Jovp tor- C4 0 1 _--„--- Pk' • I , i S 4 i I- APPROVED JUl 7 1988 JEFFERSON COUNTY PLANNING&BLDG DEPT 7 cI 3g CeA.A- Vert, O CT Svt•h-!_tri.t 01.0