HomeMy WebLinkAboutBLD1988-00441 UILDING PERMIT APPLICATION •
Jefferson County Building illrtment• County Courthouse •Port Townsen�ash.98368 • 385-9141
N E
I. LOCATION: geographic name S W SIDE OF ROAD R Ip FEET
S W FROM INTERSECTION OF ROAD AND .��8`�/ ?tit �(C��C^�stC�! ROAD
P T ,
other specific location or landmark' o� O C CTV �� f
LEGAL DESCRIPTION:
Lot Block SubdivisiO
y ( .260
ci°O /. O0 2 Tax Number Y.Section Section Township Range
II.TYPE AND COST OF BUILDING -
TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY
P1 New building ❑Single Family ❑New County Resident
❑ •odition ❑Multi-Family Is this structure to serve the residential
number of units or commercial needs of those employed
CI Alteration P Yed
❑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) c(other—Specify ❑YES LINO
❑Foundation only
C-5cua v
n
OWNERSHIP 0-e -u C \,/ USE
��� ❑Full-time Residence
❑Private (individual,corporation, ❑Second Home: Recreation Cabin,etc.
nonprofit institution,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 I f2 /Q` � 37(.73 /i,4.1 /
c. Heating,air conditioning tY 'I /
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) •Number of Stories
❑ ❑Public or Private
•Total square feet of floor area,
"`- ❑Wood Frame El Individual (septic tank,etc.) all floors,based on exterior
'*w,.
�,n -' ❑Structural steel dimensions
'4 TYPE OF WATER SUPPLY
❑Reinforced concrete •Total land area,sq.ft.
❑Public or private company❑Other—Specify 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
TYPE OF MECHANICAL Number of bedrooms
❑Coal
❑Other—Specify
Number of {Full
bathrooms
Partial
IV. IDENTIFICATION -
.eti` Name Mailing Address—Number,street,city and State ZIP code Tel.No.
Owner O` r
...A...) (4_(LSVIN )
(4 t,cut_e&,- —oi-wii -96c7-7,2cei
Contractor OtAe Li s e_,_
057)ei
rr
3.
Architect
he owner of this building and the undersigned agree to conform to all applicable laws.
Signatur oapplicant
-' Addr s g7otiondat
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
APPROVED BY,
^t P` O lam ---_-
JEFF'"3O COUNTY H ALTH DEPARTMENT
AeP'• „ e« PE'i, FEE LSUE DATE
A r, `fir_ �, RECEIPT NUMBER
—.... —__ ss l2//
AUG O 3 /R3
BUILDINGONFICIAL �,SD
JFI'��fi50N COUNTY (
f9,ANNINt A SLUt MY
The Printery—Port Townsend
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/ � r7 PLANNING AND BUILDING DEPARTMENT
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;:,--7 ,";, ' ../m PO. Box 1220
' i r• Tip-,;,-* Port Townsend, Washington 98368
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.:-I - 1 ' Planning (206) 385-9140
- 1'. t.` , ,_c: i — 1 w y- Building ( 06) 385-9141
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JEFFERSON COUNTY COURTHOUSE David Goldsmith, Director
September 12, 1989
Mr. James Olson
PO Box 391
Westport WA 98595
Re: Building Permit Cancellation: Section 13, Township 29 North, Range 2
West, WM
Dear Mr. Olson:
A building permit was issued to you on August 22, 1988 for a detached
garage. A progress check was conducted on September 8, 1989 and found
that construction has not began. Therefore, in accordance with the
Jefferson County Building Code Ordinance, your permit is hereby cancelled.
If you have any questions, please contact me between 9:00 and 10:00 a.m.,
weekdays at 385-9141.
Si er ly,
•
Michael Ajax
Building Official
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