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BLD1988-00419
r Jefferson County Buila'incMrtOF PERMIT APPLICATION ment• County Courthouse •Port Towns.Wash.98368 • 385-9141 N/ ) rr//,, r I. LOCATION: geographic name S W FROM INTERSECTIONBUILDING S W SIDE OF��`7Q1°i�'&c r,Jli�� ROAD FEET N E ii/ ROAD AND / �� - ��/d'f� ROAD other specific location or landmark: ,A ) LEGAL DESCRIPTION: PO 9 /� „ O �¢} Lot Block Subdivision / 777_C7 OO 1bJ©©C L//2�� Tax Number V,Section '/Se tion Township y Range II.TYPE AND C(7S14 BUILDING - TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY ❑New building [Single Family ❑New County Resident ❑Addition b Multi-Family Is this structure to serve the residential number of units ❑Alteration 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) ther-Specify El YES NO ❑Foundation only /' USE OWNERSHIP ull-time Residence ❑Private (individual oration, Second Home: Recreation Cabin,etc. nonprofit institution,etc.) IIPu-..-, .1 eral,State or local gov't.) UBC OCCUPANCY GROUP: /2-3 El Second Home: Future conversion to v permanent residence T (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 i If use of existing building is being changed,enter proposed use. b. Plumbing Q`1 r k) d ' �, r(DIU ) c. Heating,air ditioning 1 d. ic r (elevator,etc.) h op��,� f j ( b I V IQ' r-e c ('�c-� , TOTAL COST OF IMPROVEMENT $ On `!"t � '- III.SELECTED CHARACTERISTICS OF BUILDING - 3 PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS / ❑Masonry (wall bearing) ❑Public or Private •Number of Stories Z •Total square feet of floor area, Wood Frame 44 Individual (septic tank,etc.) all floors,based on exterior dimensions `5 c� El Structural steel El Reinforced concrete TYPE OF WATER SUPPLY •Total land area,sq.ft. a 6,9,C,35 x ❑Other-Specify ❑Public or private company NUMBER OF OFF-STREET Individual (well,cistern) PARKING SPACES Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE ❑Gas Outdoors ❑Oil RESIDENTIAL BUILDINGS ONLY electricity Number of bedrooms El Coal TYPE OF MECHANICAL ❑Other-Specify Number of Full bathrooms Partial IV. IDENTIFICATION - Name /I Mailing Address-Number,street,city and State 9,J ZIP code �j yTel.No. 1.Owner �G+ W, i'l ec4!e.r -137G C ./i'�e'°ro it)6t- - e c j /I/O i-AA)u W4 "Vg45 J 5�fSa 00A 2. Contractor State License No. 3. Architect The owner of this building and the undersigned agree to conform to all applicable laws. Signs f applicant Address Ap lication date ,-/- r yte �,� /374 4r, 7)2a,-►-tau/b low., ieli AV/rr14-,, "t)7/8e PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVED BY 0 X:\C"- .„.."' ' --t(1' JEFFER^R• C UNTY HEALTH DEPARTMENT (�( APPRf�V-•:. E D PERMIT,,EE ISSUE DATE NUMBER � LS---J� RECE I P T U N 19 8 �� L Q:L oC BUILDING, FfUFEgGUUNTY The Printery-Port Townsend (/D /�1/ / i?�C • Or` FIL / / 141V p(,r�, FF ? 11�� �� I �� r t C/ Fc _ /tiiA��Sn+C '8 -� .7 �. 'di"OUyT, i jr/ , __________, t !, I IIIII I I ,I , f r _ I_________pi . PORCR THE, 19'--i " x 8'-34 AR>=A MARKED ABoVG WAs AN OPE 1 PDRCN W i H A CON CR C' E- SLAB . VT' IS BEING )•-1 CLoEED As 5R-kov-tN . wiTH 2X4- WALL-5 AtJD 2xG, Jc It -r5 WITi4 'L1( 1JOe p 6uBrLoc - . R--11 FIBERGLASS 11.1 WALL 4 . R-t, UtW R FLOOR .4 R-30 IN CEILING. N &I F ', •► 1' ' 1 a I Io' Zoo" 2 ,3' — — oE•MA PL20kikJ sToN C RD Pi&CIL (TIES — — O EL 1. DUG WELL y-5' Gc:EG' 51.0P.= of L Aat.,lD al CE,MIof r ca. ofINJ& Ioo-_ i E�ARIEs . IT SL.c>Pa.S 2, DRILLC-L> WELL E� -6 DEEt' DO1 K) Pk_DM ROAD Lo"1 TEL CAIN1, i 10-1 TO 4600T TH 5 200° 3. Ex+sT SGPToc FIELD I MARI( ." THEt') IT 15 ( C7UC55) 200-- -7_�„ RELATIVELY FLAT 4. Ext5T SEPT(C. FIELD `' cL -lc A 8nOT T.H C GUESS) .3 & MARK Si EX►ST SEPTIC. FIELD ! ; II TIE .) IT SL.oPES To E USED FoR 7 ��- i ,, MORC RAPIDLY NvJ HOUSE . ` 0 J 1 l- To THG ToP DF c . ExlST SEPTIC FIELD a, .Y ' ; '-' N E gAr _1214""I" .) 1K . To �3E ABA01)DO D i \ t ek SANK HC1GH -T pool_ \ Z - I7:. ," EST AbT (05" BoILDIN � S ( .xi T) ® -2 \ G EL 7. SHoU i - 8. MoeiLE kOME (c4NTAL) luct 9. Noue E ( RE3TAL" • 1 , 10, NouS E 500— g \ _ ac � (To BE RE MovE'D) , t 3 1 27"- 0 30ILDIt-,tC, " I I , N o 0 S E (NG= w) pX> — (P R o po S CD L o.) (tee'/ C `� (� 42 boo'_- I ,. • —692.(0/ E, ' T Boos 'v 1 >-- LO APFRoy, . P L A Nt 84� GI&, LE I11- I00° _ — 13 La 5 __ . -,HT 1 ,-- / 7/ I C...) (.--) c___,...,;;_ ,- e .:.....r.)77 C-72_ ...-- ,--P":, @V PP i'. \ 4--- \ i20......o.............0,(cCe-_.,........o..o...,/ ,,„,7'•'.--C---. .7—------- -—---"yp--L., APPROVED JUN 1 IN ^-4: [Ss ue. ..,--- JEFFERSON COUNTY PLANNING&BLDG DEPT - .A....--i- ---)--t- --, 4-2- 11.31ceA — Se.-Peocuta co, 7- - S' - (N lk \,... IL0(cg -e--1-1-4i2 ,ucJ._ _ 3cil7 a di ke- ld-Q-e() ' J 6y1.0_, 004-c- ;44- /