HomeMy WebLinkAboutBLD1988-00425 •LDING PERMIT APPLICATION 0
Jefferson County Building Departmenti, .O . Box 1220sPort Townsend. WA 98368
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LOCATION
SPECIFIC LOCATION SITE ADDRESS l 0( D � 1 A)�C '1a.LSL.-__ fa
POSTAL DISTRICT /SUBDIVISION
LEGAL DESCRIPTION LOT Coe BLOC DIVISION TAX NUMBER
PARCEL NUMBER 1747 Q()()lQ 1 / 4 SECTION
SECTION TOWNSHIP ,- ' QNORTH RANGE 1It) WM
BUILDING INFORMATION
BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE /2xcit/
❑ SINGLE FAMILY 0 NEW BUILDING MAIN FLOOR 7t30
❑ MOBILE HOME >< ADDITION 2ND FLOOR
O MODULAR HOME ❑ ALTERATION BASEMENT
O DETACHED/ATTACHED ❑ REPAIR CARPORT
GARAGE 0 REPLACEMENT GARAGE
❑ WOODSTOVE ❑ WRECKING/DEMOLITION COMMERCIAL
❑ MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS MOBILE HOMES
❑ COMMERCIAL
$3 5
❑ INDUSTRIAL SIZE_ q'�
‘('-N ❑ HOTEL/MOTEL/DORMITORY YEAR 0p� $ 16
1 NUMBER OF UNITS MAKE /Yr3o 0 @ $8 38tiO
c )d OTHER - SPECIFY ESTIMATED COST OF 0 @ $8
�O� IMPROVEMENTS
UBC OCCUPANCY GROUP/j/J_/ $ $OTAL38�0 MARKET VALUE
SELECTED CHARACTERISTICS OF BUILDING
PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
,_) " WOOD FRAME ❑ ELECTRICITY 0 COLLECTIVE SO AR
❑ MANUFACTURED 0 WOODSTOVE ❑ P SOLAR
�,_ ❑ STRUCTURAL STEEL ❑ GAS ❑ COAL
❑ REINFORCED CONCRETE L ❑ OTHER - SPECIFY
❑ MASONRY ( WALL BEARING ) DIMENSIONS /2,cYc, 400,7z4.,
❑ OTHER - NUMBER OF STORIES / TOTAL LAND AREA
CQ DEPARTMENTAL REVIEW
HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS
G c�`�s ElPUBLIC OR P E NUMBER OF EXISTING BED
APPR VED DATE ❑ 1 N AL ( SEPTIC ) NUMBER OF �R9 SED BATHROOM
❑ ND I V I DUAL WELL NU1,&E OF EXISTING BATHROOM
76- TYPE OF WATER SUPPLY
v�L ❑ PUBLIC ( NAME OF SUPPLY)
APPROVED DATE ❑ PRIVATE ME OF WATER SUPPLY
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
/v4 ❑ YES NAME OF ADJACENT WAT, - BODY
d(c
❑ NO
APPROVED DATE BANK HEI SETBACK
PUBLIC W RKS DEPT ROAD RIGHT-OF -WAY WIDTH
NAME OF PUBLIC ROAD
J".• NAME OF PRIVATE ROAD
APPROVED DATE ROAD ACCESS PERMIT REQUIRED ❑ YES ❑ NO
IDENTIFICATION
-• NAME /'�// MAILING ADDRESS ZIP TEL NO
OWNER � ) bk l G j// , (j l Rg ��.
CONT
ARCH
T E OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
A LICANT APP I 0 ' DATE RECEIPT NUMBER CHECK NUMBER OR CASH
7/7 i 5533 / 3 .
A P :: 5 '
J-PERMITA � FEES
(e J. U�(f_`J� BASE FEE INSPECTION
3. BLDG SURCHARGE / r PLAN CHECK
JEFFERSON COG TY
DE ENERGY SURCHARGE $ / „L 9 D
PLANNING&SLOG DEPT �«+++"' D�J TOTAL
91 1 NUMBER I REFUND DATE I DATE S D
BUILDING OFFICIAL 7/7 ,
i
r
Survey of Lot 6 in Block f and that port ion of vacates sprucw� ireet attatched
try lair, all in Correia '`s Addition to Iro dale, Vol. 3 of °page a,
1
CoO. Lot 31 S. 21 T 29N. , R. 1 W, W.M. Vefferson Coun?y, Washington.
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