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HomeMy WebLinkAboutBLD1989-00038I _ BLIAIWNG '-.,. ,ERmIT APPLICATION . A Jefferson County Building DepartmenteP .O . Box 1220ePo Townsend. WA 98368 r ' LOCATION SPECIFIC LOCATION SITE ADDRESS /CI-- ) V' POSTAL DISTRICT - /SUBAVISIkA4 r LEGAL DESCRIPTION LOT4PLOCK DIVISION TAX NUMBER PARCEL NUMBER / .50i C1-,?a._.1-/ 4 SECTION PLANNING AREA SECTION 4 TOWNSHIP f3D NORTH RANGE WM BUILDING INFORMATION BUyL'/DING TYPE TYP OF IMPROVEMENT SQUARE FOOTAGE SINGLE FAMILY NEW BUILDING MAIN FLOOR O MODILE HOME 0 ADDITION 2ND FLOOR 8 VHOME 0 ALTERATION BASEMENT DETACHED ATTACHED 0 REPAIR CARPORT . AGE 0 REPLACEMENT GARAGE C; O WOODSTOVE 0 WRECKING/DEMOLITION COMMERCIAL O MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL NUMBER OF UNITS MOBILE HOMES O COMMERCIAL SIZE Sia,LAI a $35 ,..373 O INDUSTRIAL YEAR :)1(5 0 @ $ 16 i '7169.____) O HOTEL/MOTEL/DORMITORY .--, NUMBER OF UNITS /7 O OTHER - SPECIFY 0 @ $8 ESTIM fED COST OF --- IMP OVEMENTS TOTAL, IR MARKET VALUE UBC OCCUPANCY GROU --7' $ SELECTED CHARACTERISTICS OF BUILDING PRI IPLE TYPE OF FRAME PRIN IPLE TYPE OF HEATING FUEL WOOD FRAME LECTRICITY 0 COLLECTIVE SOLAR O MANUFACTURED 0 WOODSTOVE 0 PASSIVE SOLAR O STRUCTURAL STEEL. 0 GAS -3vg9AL /• ,. e, (-I-,/,•(-7 O REINFORCED CONCRETE 0 OIL THER - SPECIFY-i'-',' ,,,'' (/ '.; ------ O MASONRY ( WALL BEARING ) 1i DIMENSIONS O OTHER - ---- NUMBER OF STORIES TOTAL LAND AREA4, ,,..- DEPARTMENTAL REVIEW HEALTH D PARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF FROrr,77-6-a7770-ii. - \ 1 '1 > n 0 PU C OR PRIVATE NUMBER OF EXISTING BEDROOMS NDIVIDUAL ( SEPTIC ) NUMBER Or PROPUt-)ED. BATHROW APPROVED DATE 0 INDIVIDUAL WELL NJ-M[3E110F EXISTING BATHROOM PUD TYP OF WATER SUPPLY rr .-UBLIC ( NAME OF WATER SUPPLY).. - APPROVED DATE filg- RIVATE ( NAME OF WATER SUPPLY, - -- -- PLANNING DEPT . WITHIN SHORELINE JURISDICTION O YE!,...„,NAME OF ADJACENT WATER BODY , - U410 APPROVED DATE BANK HEIGHT SETBACK ------ PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH NAME OF PUBLIC ROAD NAME OF PRIVATE ROAD APPROVED DATE ROAD ACCESS PERMIT REQUIRED 0 YES 0 NO IDENTIFICATION ..- NAME MAILING ADDRESS ZIP TEL NO 0 W N E R AV L)(,,&Jj,,,,n /7 4,74:7) frie.eniv, h /.> f----)-7- ,Th .., Ce C 0 N T —., ARCH .... THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS. SIG TUR OF :70;LIT APPLICATI t; GATE RECEIPT NUMBER CHECK NUMBER OR CASH 0,,,, • j5 — ! APPROV BY PERMIT F7,7,5 A P p *.‘0 ' ,t tt -/......i3 -4,, ,. O A L)BASE FEE INSPECTION BLDG SURCHARGE PLAN CHECK J 2 .gin ENFAIFIENRcson:COUNTY ./,.., ENERGY SURCHARGE L 4110"-- PLAj TOTAL &BLDG DEPT 9 1 I NUMBER REFUND DATE DA ISSUED BUILDING OFF I CI AL. j 7 ' J 76-54' "el ) • 7/4. • 1 . • w4 _T Tr'r o~r+. r'R. c T (1 i 1 iV ri'v i a i i i i.i 3 i iv'c i--F. roc Tvi i m Jefferson County Planning and Building Department Courthouse, 3rd Floor Po Box 1220 Port Townsend ; WA 98388 206-385-y 1 4 1 PF.RM T T # • RT,r q-003r3 )ATF. T SSiTFr). : OJ7 t 2 n i Aq STTF AflfRFSS n150 CAPF. CF.ORCF. RTJ : PORT T OWNSF.i'U'r1 . WA !-IeSAMM LOWNFR JOHN WAT,KF.R PHOiQR: 385-3472 MATT,TNC Arli)R : 2517 HOT,COMB ! PORT TOWNSFNIJ WA 98388 CONTRACTOR. . :NO CONTRACTOR � ( PROW! MA T T,TNC Ai)i7R : • LTC #: F.riP T RATTON rJATF.c PART;FT, NO. . . : OOJ i 3O i 032 DF.SC . . : STR 1 q-3OJ-O i WWM. TAX # 7,0 T- , BLOCK JFSCR T P-T TON OF T MPROVFMFNT : single family residence with detached garage F ont i ng Setnacies (Shoreline SetnacK 1 f Mon l I e Home FS i nc c i nn. .,/) Foundation : 0k /l ©.3 4 ( ; Tinder round Pi1Jmnincr/tinderarnund Tnsuiatinn : i C- Framina/Plum In /Chimney. , n etjjef e5% _.._ f } Petrnc g Sewage Disposal System Final (, 7/ '-' . al/Occupancy Approval ! CALL 3R55-q 1 41 24 HOTIRS TN AfVANC5 TO SCHRDTJT,F TNSPFCTTONS . Office Hours q a .m. to 5 n.m. Inspector ' s Hours q 10 a . m. 24 Hour Recorder for Inspections. sfq 2H FT A, •7 F r 1— 06t_ SINK a_ 0 UI (si\M6F m —t. ,i 3FT 2,, ZFr 2.56" N y I Z. i_ • F609LN ,NI S,AVyyw tOni r7i. c,D �W � � ? p 11 'I 11 00 'O mt,� ry NC N 8 cri SINK N-, AIMAIIIIMPIP'' v 't RI RI Nagentastwm.... ..da 111114111111V Ilit %..' .., C�j .•��•I • I o--...(s•-•‘ 13 8 <- c m •"' Z rnCA ° 98 z , 1�* Z 0mQ mZ mbo 5 . , • oi�mAfnllio ��� N wJ • AU 2oN--(,puUZr . ° ),.1.1_0 N4 0_ G ` 1 m. Abyp m SN rn ti ucml � 4�� c � 0 t ° ,o„ Sl T m —Q (" r--, CM cilci, --,,s, \ 4'' -e;',/..) , \� o y n �lJ �.r{ r N �� /-v a c. W I--- 6 Z • 6 S7 a aH \ �\ lq-� �. �.... z 6_ aZ.C. o 4, . ;:,.._ „ Cn -��`,, ;5at� mow..,.. . ._., \" Z7\ rrt C���� 6� ' ydwixo� J 7 ` 1 CI° y o f Trmnm ��3 0` G �� m0roy�� mOA NQZ tb Lei 1�o nnrn rn f_ ymm�� t` o n� N v)0n L, m rn� ) c--- S I WAS HINGTON COORDINATE SYSTEM