HomeMy WebLinkAboutBLD1989-00102 OUILDING 0,'ERVIIT APPLICATIOA
Jefferson County Building DepartmentmT :O . Box 127Twort Townsend, WA 98368
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LOCATION ,2r
-- ktiet .-- r. ?1
SPECIFIC LOCATION SITE ADDRESS ,-- ' ...‹—,,—..fi -i-0 ) hnc A e.:
POSTAL DISTRICT /SUBDIVISION
LEGAL DESCRIPTION LOT BLOC ' olvlsiT4 - TAX NUMBER
PARCEL NU DER eit77 SECTION
PLANNING AREA SECTION TOWNSHIP. NORTH RANGE /t.___' . wm
BUI ING INFORMATION
B LDING TYPE TYPE Or IMPROVEMENT SQUARE ;-ooTAGE
SINGLE FAMILY 0 NEW BUILDING M IN FLOOR
O MOBILE HOME 0 ADDJTION ZND FLOOR
O MODULAR HOME n.--AERATION BASE NT /
O DETACHED/ATTACHED 0 REPAIR CARPOR /
GARAGE 0 REPLACEMENT GARAGE //
O WOODSTOVE 0 WRECKING/DEIEOLITION COMMERCIAL
O MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS /
moBILE HOMES
O COMMERCIAL SIZE .o..0 @. /if 3 5
----
O INDUSTRIAL _.„. _——
YEAR _ _ _. A 11 $ 16
O HOTEL/MOTEL/DORMITORY
MAKE
ir/@ $8
NUMBER OF UNITS
----_— -----
O OTHER - SPECIFY ESTIMATED COST OF —
@ $8
imrrIQvr4T11,11:u5,1 :; T AL FAIR MARKET VALUE
UBC OCCUPANCY GROU , ..j s „..,;‹,c2 (:( ( ,
s____
SELECTED CHARACTERISTICS OF BUILDING
PRINp/ L: PLEcTYPE OFCHEATINGVFUEL SOLARE
PRI IPLE TYPE OF FRAME
WOOD FRAME
O MANUFACTURED 0 WOoDSTOVE 0 PASSIVE SOLAR
O STRUCTURAL STEEL 0 G..-,r-74 0 COAL
O REINFORCED CONCRETE 0 OIL 0 OTHER - SPECIFY "
O MASONRY ( WALL BEARING ) _
D OTHER - rIUMUER OF STOLZ I ES,... '. TOTAL LAND AREA
--- —
DEPARTMENTAL REVIEW _
HEALTH DEPARTMENT TYPE OF SEWAGE DI SPOSAL T whieiri Cr PROPOSED BEDROOMS
0 B P L I C OR PR I VAT r.,"
(i<1 NE) VI DUAL ( sF,rTic ) NUMBER OF EXIST I NG BEDROOMS ,
NUI,,7777.11 OF morosED BATHROOM
APPROVED DATE ID I V I DUAL :1EL L NUMBER OF EXIST I FIG BATHROOM
, --....4rawar,v
PUD TYPE OF WATER SUPPLY
0 PUBLIC ( m!,.ME OF WATER SUPPLY)._ _ , ---
APPROVED DATEr4/ 0 rR VATE ( NAME OF WATER SUPPLY). _
PLANNING DEPT . wi HiN SHORELToE JURISDICTION
YES NAME i OF(- ,i ..7.CENT TER FITY/ ,'. ---°
_..._
0 NO
APPROVED DATE DANK HEIGHT -----
SETBACK
PUBLIC WORKS DEPT ROAD RIGHT-or -TAy WIDTH
it : , NAME OF PUVLIC ROAD
NAME OF PRIVATE ROAD
APPROVED DATE I ROAD ACCESS PERMIT 117:QUIRE° D YES 0 NO
-- _
IDENTIFICATION
----- --- _ .-..-
NAME , AILING ADDRESS I ZIP TEL NO
----"t- 4 '
— — — —
_----
s r A 1 E—E-T-L' ZT-L
ARCH
THE OWNER OF THIS BUILDING AND THE UNDET/SIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS;
774TURE OF, AP
_ APPLICAT.I ;N ATE RE, PA NUM,BER ' 777/MpER OR CASH
iiii:V ) c
, PR E ' ERMIT rri.-1.4s
T3A-75. FEE INSPECTION
- _
BLDG SURCHARGE ,
PLAN CHECK
niq cObNIN
3Ef OS' DG pEr, ENERGY SURC!IARGE $,.;4 ) 1 •--)(
TOTAL
9 1 ! NUMBER REFUND DATE DATE ISSUED
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BUILDING OFFICIAL
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_TFTrTr F:R.St'IN (7:C)T7NT57 RT7T T.T)T NC-1 -P1F .RMT T
Jefferson County Planning and Building Department
Courthouse, 3rd. Floor
PO Box 1220
Port Townsend, WA 98368
206-385-9141
PFRMTT # •RLD89-0102 DATE TSSUF.D. : 11 /15/89
SITE ADDRESS: 1376 F MARROWSTONE RD
:NORDT.AND, WA 98358
OWNER •GF.ORGF. FTEDLER PHONE:
MATLTNG ADDR : 1376 F MARROWSTONE R
:NORMAND WA 98358
CONTRACTOR. . :NO CONTRACTOR PHONE.:
MATT.TN(; ADDR
CONTR. T.TC #: EXPIRATION DATE:
PARCEL NO. . . :977700-063
LEGAL DFSC. . :STR 04-29-01 EWM, TAX #
LOT , BLOCK
DESCRTPTTON OF IMPROVEMENT: single family residence
( ) Footing/Setbacks (Shoreline Setback)/Mobile Home Blocking:
( ) Foundation :
( ) Underground Plumbing/Underground Tnsulation :
( ) Framing/Plumbing/Chimney:
( ) Insulation :
( ) Sheetrock:
( ) Sewa e Disposal System Final :
( final/Occ.upancy Approves
CALT, 385-9141 24 HOURS TN ADVANCE TO SCHEDULE TNSPECTTONS.
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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