HomeMy WebLinkAboutBLD1989-00084r _
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411,ILDING 0-'ERMIT APPLICATION
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Jefferson County Building Department1T .O . Box 12214,Port Townsend, WA 98368
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LOCATION -----
SPECIFIC LOCATION SITE ADDREE.S SJ
POSTAL DISTRICT /S BDIVISION IS .
LEGAL DESCRIPTION LOT 1 sLocktrobytit\kut TAX NUMBER
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A: e2 PARCEL Nurrs (7 o.,1 1 / 4 SECTION
PLANNING ARE SECTIOm L TOWNSHIP 3r,) NORTH RANGE /e— WM
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BUILDING INFORMATION
BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAG141
O SINGLE FAMILY 0 NEW SUII.DING MAIN FLOOR
O MODILE HOME 0 ADDITION 2ND FLOOR
O MODUL iOME Gc.hc3c1 0 ALTERATION BASEMENT
DETACH NACHFD I 0 REPAIR CARPORT
GARAGE 0 REPLACEMENT GARAGE tl(p
O WOODSTOVE 0 WRECKING/DEMOLITION COMMERCIAL
O MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS__
MOBILE HOM7'S
tali41.16
0 COMMERCIAL ,
.-,
SIZE
O INDUSTRIAL YEAR @ $ 16
O HOTEL/MOTEL/DORMITORY ----
_
NUMBER OF UNITS MAKE ___ TO @ $8
:— — — -- ,
O OTHER - SPEC I FY 0 @
TTIMATED COST OF
IMPROVEMENTS 1 T RKET VALUE
UBC OCCUPANCY Gaoy , s $
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SELECTED CHARAC1 ISTICS OF BUILDING
PRINCIPLE TYPE OF HEATING FUEL
PRINCIPLE TYPE OF FRAME
C ,..s.ZOOD FRAME " ELECTRICITY 0 COLLECTIVE SOLAR
O MANUFACTURED 0 WOODSTOVE 0 PASSIVE SOLAR
O STRUCTURAL STEEL 0 GAS 0 COAL
D REINFORCED CONCRETE . 0 OIL 0 OTHER - SPECIFY
O MASONRY ( WALL BEARING ) DImENSIONS
0 OTHER - --- NUMBER OF STORIES TOTAL LAND AREA
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DEPARTMENTAL REVIEW
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HEALTH DE ).-Fl Mc ENT TYPE OF SEWAGE DISROSAt, r ERJFT7TDTOSED FDTIZZi,AT-1L-
10 A(L2 ' (
ON
O PUBLIC O FRIVATEA)
NDIVIDUAL ( SEPTIC reIBER OF EXISTING BEDROOMS
NUMBER OF PROPOSED BATHROOM
[ APPROVED ATE - INDIVIDUAL WELL HUMOUR OF EXISTING
wrommumr
k) trr TYPE OF WATER SUPPLY
O PUBLIC ( NAME OF WATER SUPPLY
APPROVED DATE CI PRIVATE ( NAME OF WATER SUPPLY)
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PLANNING DEPT . W THIN SHORELINE JURISDICTION
YES NAME 7rpvATT WATER BODY
--,11,1 I l.)I
O NO
APPROVED DATE BANK HEIGHT ZOO/ SETBACK
PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH
(0 e NAME OF PUBLIC ROAD
NAME OF PRIVATE ROAD
APPROVED DATE ROAD ACCESS PERMIT REQUIRED 0 YES 0 NO
IDENTIFICATION
/5.- \ — NAME M LING AD S ZIP TEL NO
"\,. WNER ,-............ ,
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TIT 1 2 L Fri:.-!;''72.—RU
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ARCH
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THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE. TO CONFORM TO ALL APPLICABLE LAWS.
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SI NAT E 0 'RP ANT
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APP LI/AT I ON N E I 77E I PT raTIEHCK rIIDO SH
/ 0 S LI 3 (I .
APPRO 00 BY PERMIT FE7S
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A P .,, :*,'.i y tc, 0.
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DEASE FEE INSPECTION
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BLDG SURCHARGE PLAN CHECK
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ENERGY SURCHARGE s5,24a) TOTAL
4IFEE8SON C(Aihn.v —
'PEWVIMG,8aL06 DiP..' 9" NUMBER REFUND DATE ,707„
BUILDING OFFICIAL I
/CL.- ' _.,_. : hi) 1 0/C -S-127
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Jefferson County Planning and Rui dingy Department
Courthouse, 3rd F1 nor
PO Rnx 1220 •
Pnrt Townsend , WA a8368s
206-3R5-`1141
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,NoR LAND WA 98358
CONTRACTOR . . :NcO CONTRACTOR PHONE.
Iv1A T i,i NO A nR
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CONTR . L T C 4: FXP'f RATTON f1ATF.
PARCF.T, NO. . . - tit i i 8s4-002
T,FCAT, fFSC. . : STR 18-30-01 F.WM. TAX 4
LOT i RT,OCK , KILTS-UT RFFF
IJr.:sc;rcTPTTON OF TMPROVFMFNT : apartment w det i hen c;arane
i rnnTin7f;PT. aC :s (Shoreline S eT 7aCk) /M Cn; ,
e Home R'InC'KnC;
1 Fo77ndat i nn . •
1'1nde.rgrnund P i ilmh i ngi iindernrnunn insulation :
( 1 Fram i na P i umh i ng Ch i mnev:
) insulation :
t > She.etrock:
Sewage Ti i.sposa l System Final :
i Final/Occupancy Approval :
CALL 385-`=1 i 41 24 HOURS TN ATJVANCF 70 SCHS )iiT,F TN- - p.c;-i TONS .
Office Hours `1 a .m. to 5 p.m.
T n.sne.ctor i s Hours 9 - 10 a .m .
24 Hour Recorder for Tnsnections.
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