HomeMy WebLinkAboutBLD1989-00101 10,DINGIERMIT APPLICATION
Jefferson County Building Departmentr7P .O . Box 1220 rt Townsend. WA 98368 ,
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SPECIFIC LOCATION SITE ADDRESS ( -
POSTAL DISTRICT. , /SUBDIVISION
LEGAL DESCRIPTION LOT BLOC} DIVISION TAX NUMBER
PARCEL NU BER_ 114 SECTION
„, 7)
PLANNING AREA SECTION - TOWNSHIP ----\ NORTH RANGEWM
BUILDING INFORMATION
BulLDING TYPE Typgw0FIMPrzOvEMENT SQUARE FOOTAGE
0/ SINGLE FAMILY UILDIHG
MAIN FLOOR
O MOBILE HOME 0 ADDITION 2ND FLOOR
O MODULAR HOME 0 ALTERATION BASEMENT iopf T-r r-
O DETACHED/ATTACHED 0 REPAIR CARPORT
GARAGE 0 REPLACEMENT GARAGE
O WOODSTOVE 0 WRECK1NG/DEMOLITION COMMERCIAL
O MULTIFAMILY 0 RELOCATIONMOVING INDUSTRIAL
NUMBER OF UNITS
MOBILE HOMES
3--&-0 @ /E%181C'
0 COMMERCIAL 1 5
SIZE - .,.
YEIIR
O HOTEL/MOTEL/DORmITORY
NUMBER oF uNiTS _
O OTHER - SPECIFY 0 @ $8
ESTIMAT D COST OF
IMpR EMENTS TOTAL F IR MARKET VALUE
UBC OCcuPANCY GRoU . $ $
.._
SELECTED CHARACTERISTICS OF BUILDING
PRACIPLE TYPE OF FRAME -__-
PRINc1PLE TYPE OF HEATING FUEL
L
tywOOD FRAME 0 ELECTRICITY 0 COLLECTIVE SOLAR
O MANUFACTURED 0 WOoDSTOVE 0 PASSIVE SOLAR
O STRUCTURAL STEEL 0 GAS 0 COAL
O REINFORCED CONCRETE 0 OIL
VIPTHER - SPECIFYi '
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O MASONRY ( WALL BEARING )
D7R R t_
EUSIONS (thv 404,):: .,44„iti4
O OTHER - _ NUMBE OF STOIE,S1_.) TOTAL LAND AREL
A,
DEPARTMENTAL REVIEW dAr T1:
HEALTH DEpARTMENT TyrE Cr sEy/A E DISrOsAL NuMBER Or PROPOSED BEDROO
f /3185eLk 0 pylmIc On PRIVATE I!UMBER OF EX I ST I tIG BEDROOMS
• (4, I r)io 1 v 1 D u AL. ( 55.P T 1 C ) NUMBER Cr PROPOSED BATHROOM,
APPROVED DATE
C‘M-1 ND 1 V 1 DUAL. WELL, NUMBER OF EXISTING BATHROOM
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PUB TYPE OF WATER SUPPLY
pi 0 PUBLIC ( NAME OF WATER SUPPLY)
APPROVED DATE U PRIVATE ( NAME OF WATER SUPPL.11
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PLANNING DEPT . WIT IN SHORELINE JURISDICTION
ES A— NAME OF ADJACENT WpcjEp BOD
0NOY , -
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APPROVED DATE BANK HE (QC) SETBACK ( )
-
PUBLIC WORKS DEPT ROAD RIGHT-OF-wAy WIDTH
V NAME OF PUBLIC ROAD
- f ' NAME OF PRIVATE ROAD
APPROVED DATE ACCESS PERMIT REQUIRED 0 YES 0 NO
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IDENTIFICATION
NAME M LING ADDRESS ZIP
,06 AP ( 6 & 7 ---P-1--r 7g3” TEL NO
owi4mit ,
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ort6 "el
141( --6
ARCH
( (11.4S. 65a,-* 3 5 liL -)a?/1. /2° 4/ 7-- fo1/41070Pk.f1)5(4 63$ _
.041 co/ It /61cic 1
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TH 0 I-A R. THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS:
7F 17Tlar 11:2720S; I CHEC 47ER OR CASH
AP 0 ED BY I P MIT - 7:1.".>
#44 Fe , 1E b \ BASE FEE INSPECTION
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NO BLDG SURCHARGE - PLAN CHECK
, ENERGY r
SURCHARG- Lir..(0 5C).
FE„so, _ _ TOTAL
PLANNING p. Call y
aftsafpT 9 1 1 NUMBER F.-REFUND DATE DATE ISSUED
BUILDING orr!cIAL 1 /// 5?
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.TF..F'F'FRSC7N (^C)1774'T"57 St7T T.T3T NC; 1?1r i .MT 'T
Jefferson County Planning and Rui .lding Department
Courthouse, 3rd Floor
PO Rox 1220
Port Townsend, WA 98368
206-3A5-9141
PF.RMTT # •RT,D89-0101 DATE ISSUED. : 11 /30/89
SITE ADDRESS: 69A E MARROWSTONF RD
:NORDLAND, WA 9835A
OWNER •PHTT,T.TP FLYNN PHONE:
MAILING ADDR:PO ROX 689
:PORT HADLOCK WA 98339
CONTRACTOR. . :NO CONTRACTOR PHONE!
MAILING ADDR:
CONTR. LTC #: EXPIRATION DATE:
PARCET, NO. . . :977700-037
T,F.(;AL DESC. . :STR 09-29-01 RWM, TAX #
LOT , BLOCK
DESCRTPTTON OF TMPROVEMF.NT: single family residence
( ) Footing/Setbacks (Shoreline Setback) /Mnhile Home Blocking:
( ) Foundation :
( ) Underground Plumbing/Underground Tnsu l a t i on:
( ) Framing/Plumbingr/Chimney:
( ) Insulation :
( ) Sheetrock: /, , )/1z 7/ T/
( ) Sewage Disposal System Final :
( ) Final/Occupancy Approval : J
CALL 3A5-9141 24 HOURS TN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9 a.m. to 5 p.m.
Inspector' s Hours 9 - 10 a .m.
24 Hour Recorder for Inspections.
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