HomeMy WebLinkAboutBLD1989-00089r
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BUIONG i'ERMIT APPLICATION
411
Jefferson County Building Department -P .0 . Cox 1220ePorL Townsend, WA 98368
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SPECIFIC LOCATION SITE ADDRESS
POSTAL DISTRICT- n- /SUBDIVISION
LEGAL DESCRIPTION LOT BLOCK DIVISION TAX NUMBERW;0
PARCEL MBER (3c0"-- ("14/4 Cra) 04 SECTION
PLANNING ARCA _ SECTIONH TOWNSHIP NORTH RANGE 7 WM
BUILDING INFORMATION F-----7--
BUig'DING TYPE Typ OF ImrnovumcuT SQUARE roorA7/ c:
4• INGLE FAMILY IEW BUILDING MAIN FLOOR
-2
O MODILE HOME 0 ADDITION 2ND FLOOR
O MODULAR HOME 0 ALTERATION BASEMENT /
O DETACHED/ATTACHED 0 REPAIR CARPORT
GARAGE 0 REPLACEMENT GARAGE
O WOODSTOVE 0 WRECKING/DEMOLITION ' COMMERCIAL
O MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS --------
---- MOBILE HOMES
O COMMERCIAL
SIZE 77 1L6/1 @ $35 G, 380
O INDUSTRIAL ,
/74r?
O HOTEL/MOTEL/DORMITORY
MAKE_ 0 @ $ 16
NUmBER OF UNITS /0 OTHER - SPECIFY EST - -INAI COST OF _____,..0 @ $8
IMPNO -MENTS TOTpyytiARKET VALUE
UBC OCCUPANCY GROU $ S
_.---....-,...*-..**A
--------
SELECTED CHARACTERISTIC t OF BUILDING
—
PRINCIPLETYPE OF HEATING FUEL
pRINCIPLE TYPE O
Q. WOOD FRAME 0 ELECTRICITY 0 COLLECTIVE SOLAR
O MANUFACTURED 1:11,2wO9-fft.TOVE 0 PASSIVE SOLAR
O STRUCTURAL STEEL AS 0 COAL
O REINFORCED CONCRETE 0 OIL 0 OTHER
O MASONRY ( WALL nEARiNG ) DIMENSIONS
0 OTHER - NUNBER OF orzIE TOTAL LAND AREA57tga-
DEPARTMENTAL REVIEW 0 -
H ALTH DEPARTMENT YPE OF SEA GE D I SPOSAL Nunn -ez OF PROpOSED BEDROOM.$
I
[ 1 7 tzci 0 P I. IC c .: rrivAIE NUMBER OF EXISTING BEDROOMS
I}I-0 I V I DUAL ( SEPT I C ) NUMBER OF rnorostm BATHROOM
APPROVED DATE
rIUPI ND I V I DUAL WELL N.IMBER OF ExIELATIE__oc./2„,„
PUD TYPE OF WATER SUPPLY
0 PUBLIC ( NAME Or "ATER surr Ly I
APPROVED DATE 0 PR I VATE ( NAME OF WATER SUPPLYJ
PLANNING DEPT . WITHIN SI-ICRELIHE JUR I SO I CT 1014
Er-YES NAME OF ADJACENT WATER BODY
Rb tt 0 NO / ------ ---
APPROVED DATE DANK HE I GUT/CD-1 0 SETBACK.
PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH
NAME OF PUBLIC ROAD --
NAME OF PRIVATE ROAD
APPROVED DATE ROAD ACCESS PERMIT nEQui-q'D 0 YES 0 No
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IDENTIFICATION
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ME MAILING ADDRESS ZIP T E L NO
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OWNER n411t,,
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CONT --
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ARCH — _.--_—
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THE pxamii Ot)AIIS a D NG AND THE UNV'ZRSIGHED AGREE 10 CONFORM 10 ALL APPLICAHLE LAWS.
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ctIGNATU :. L T4 APPLICAT,/FA7 64" ICHECIS5NUM127 CASH
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APPROVE. B P RMIT FE'Z
A 0. p pi ,1 v BASE FEE I NsrEcTION
50
16 BLDG SURCHARGE PLAN CHECK
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ENERGY SURCHARGE $ WI
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JEFFERSON COUNTY TOTAL
N'
RATOS&BLDG DEPT 911 numpER REFUND DATE DATEILAS ED
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BUILDING OFFICIAL. /
.49994999
16 0 7-11 t t 0 1,?1
.TF.FF'1ir.1 C)N C7.C)tTNTV Rt7T T.T)T N� T�FRMT T
Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend, WA 9R3fiR
206-3R5-9141
PERMIT # •RT.nR9-O0R9 T)ATF. TSSUFfl. • 1 1 /OR/R9
STTE AT)T)RF.SS- 570 MCMTNN Rfl
PORT TOWNSF.ND, WA 96368
OWNER •RTCHARfl VF.DAA PHONE. ! 3R5-3743
MATT,TNO AflflR : 570 MCMTNN
!PORT TOWNSF.NT) WA 98368
CONTRACTOR. . -NO CONTRACTOR PHONE-
MATT,TNO ADT)R :
CONTR. T,TC #: F.XPTRATTON DATE!
PARCEL NO. . . :00201 4-002
LF.OAT, flESC. . • STR 01 -30-02 WWM. TAX # 26
LOT , BLOCK
DF.SCRTPTTON OF TMPROVEMF.NT- single family residence
( ) Font i no/Sethac-ks (Shoreline Sethac-k) /Moh i 1 e Home Blocking:
( ) Foundation :
( ) Underground Plumbing/Underground Tnsu l at i on
( ) Framing/Plumbing/Chimney!
( ) Insulation :
( ) Sheetronk.
( ) Sewage Disposal System Final :
( ) Final/Occupancy Approval :
CATJ, 385-9141 24 HOURS TN ADVANCE. TO SCHF.fliUfi TNSPECTTONS.
Office Hours 9 a .m. to 5 n.M.
Tnsnector ' s Hours 9 - 10 am.
24 Hour Recorder for inspections.
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