HomeMy WebLinkAboutBLD1988-00430 JILDING PERMIT APPLICATION
Jefferson County Building Deenent• County Courthouse •Port Townsend,•h.98368 • 385-9141
NE •
I. LOCATION: geographic name S W SIDE OF ROAD FEET
N E S W FROM INTERSECTION OF ROAD AND 8On (�
3 IJ (l HL ) ROAD
other specific location or landmark: q?i
LEGAL DESCRIPTION:
Lot Block Subd4siQn.
Tax Number 'Y 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
❑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
USE
OWNERSHIP
❑Full-time Residence
i ❑Private (individual,corporation,
nonprofit institution,etc.) ❑Second Home: Recreation Cabin,etc.
❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: ❑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 existing building is being changed,enter proposed use.
....,.._ b. Plumbing 3 l+P I nS ` (.‘ i Oh On I
c. Heating,air conditioning C�` t rY r f- �^oo3 e �� e)T 12@ �,/)
1 u
d. Other (elevator,etc.►
• TOTAL COST OF IMPROVEMENT $ �f'. Q`{ ( ^I^ e I
., 1` COY ' Q
l III.SELECTED CHARACTERISTICS OF BUILDING -
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS
1:56- ❑Masonry (wall bearing) •Number of Stories
❑Public or Private
Wood Frame •Total square feet of floor area,
--
El Wood (septic tank,etc.) all floors,based on exterior
❑Structural steel dimensions
.f1 El concrete TYPE OF WATER SUPPLY •Total land area,sq.ft.
j El Other—Specify ❑Public or private company /
❑Individual (well,cistern) NUMBER OF OFF-STREET
PARKING SPACES
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE Enclosed
❑Gas Outdoors
❑Oil RESIDENTIAL BUILDINGS ONLY
❑Electricity Number of bedrooms
❑Coal TYPE OF MECHANICAL
❑Other—Specify
Number of Full
bathrooms
Partial
IV. IDENTIFICATION - .
Pao)
Mailing Address—Number,street,city and State ZIP code Tel.No.
1. Pao) c)l e..
Owner
2.
Contractor State License No.
3.
Architect
The owner of this building and the undersigned agree to conform to all applicable laws.
Signatu of,e 4ieent`C/ eSTee.. Address
o?. /__ E'S.e.�/S �Al y Application date
�� � / � �/// . -- Se.. Y/ ny/t 16S
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
APPROVED BY
JEFFERSON COUNTY HEALTH DEPARTMENT
APPROVED BY: PERMIT FEE ISSUE DATE RECEIPT NUMBER
( 5 'OC) Jo�
BUILDING OFFICIAL OCK3
The Printery—Port Townsend
.
8.J. REALTY
DISTRIBUTION DATE: March 198. •A v8.3Airport Cutoff Rtf.
Port Townsend, WA 9838$
(206) 385-5551
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Bdrma. Baths Age Lot Size View Sq.Ft.Anemias Fip.rr ally Price
'Iof t SAcrea Woods Not stated 835,000
Address Map Code Cement '
Song Dog Hollow (off Lindsey Hill Rd) 800 Foundation Dishwast>er
T 8. Quit . Bay Ext.Coast. Wood Disposal
�0, 000 down on 15 yr contr . at 10% Roof Shake Runge
Sewer___...Septic__ Wood Stove x
Sijiri Zoning PossessFon Date Wakir Spring Fireplace
yes_x Nu Rural On Closing Heat Wood Patio/Deck
Listing Agent "' Ph. Wired for 220 Refrigerator
Virginia llollender 385-1629 Floors Cement
Overall Remarks: Garage Taxes $221.96 (19E 8)
Carport
Home is unfinished inside. There are two small out- Spec.A,
Fence
bldgs. 0utdoor privy. Wood stove with cement block
chimney.
The following personal property is NOT included:
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Owner alaj-t c -A-) Office No. ist T.D 12,966 At 10 %
Pnul and Jenn T'lo1 ett e 13 .0357 .00 payable,$1Ks. 13 month ly
Address Ph. Code m. /O Type of Loan
1240 Cedar St Port Towns►und 385-0939 1052416 3. 5 Held By Mark Owens
Occupant Ph. 2ndT.D. At q
No Payable$
LEGAL 29 91 �7 tow c c E of the NWI; Title Preference
Sect �� Ni of �W, of .
70/ 92 6Is —'
Additional Remarks: 12,4U-,64.-"Pt,:1---, `
Seller's Signature:.
Date:
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0-14- 077-
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