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HomeMy WebLinkAboutBLD1989-00103 LDING g:'ERNIT APPLICATION Jefferson County Building DepartmenrP .O . Box 1220 - ort Townsend. WA 98368 I • 6 30 -Z.AS T- A/14gett•3STON E ')'(C,(eD6/1+4,D LA')01 , LOCATION 1 ---I6 'MS'. 6/Ialte SPECIFIC LOCATION SITE ADDRESS_ ___ _ t -- . 0,a57014cakp, morcixAmia • , POSTAL DISTRICT /SUBDIVISION LEGAL DESCRIPTION LOT BLOCK_ 4)IVIS10,0N TAX NUMBER PARCEL Is: 77407 / C,./ SECTION PLANNING AREA SECTION TOWNSHIP NORTH RANGE : WM ----- BUILDING INFORMATION 7'---- BUILDING TYPE TYP OF ImpriovmENT SQUARE FOOTAGE O SINGLE FAMILY NEW BUILDING MAIN FLOOR O MOBILE HOME 0 ADDITION 2ND FLOOR O MODULAR HOME 0 ALTERATION BASEMENT O DETACHED/ATTACHED 0 REPAIR CARPORT GARAGE 0 REPLACE7!ENT GARAGE c4/10/1e O WOODSTOVE 0 WRECKING/DEMOLITION COMMERCIAL O MULTI - FAMILY 0 RELOCATION/MOVING , INDUSTRIAL NUMBER OF UNITS ---- MOBILE I SOMESr O COMMERCIAL --_-0 @ $35 O INDUSTRIAL —- - O HOTEL/MOTEL/DORMITORY ---- $ 16 @ u/i..1MBER OF UNITS -.. .OT ----- HER pCIFY 0 @ a ESTIM ED COST OF UBC OCCUPA VENENTS TOTALrfi(1MARKET VALUE 1 NC7GROU / ,I . -- SELECTED CHARACTERISTICS OF BUILDING PRINCIPLE TYPE OF HEATING FUEL .----- PRI, CIPLE TYPE OF FRAME 2,4OOD FRAME 0 ELECTRICITY 0 COLLECT : O MANUFACTURED 0 WOODSTOVE DA51VE SOLAR O STRUCTURAL STEEL 0 GAS -------- 0 COAL ----- O REINFORCED CONCRETE 0 01 0 OTHER - SPECIFY O MASONRY ( WALL BEARING ) DIMENSIONS O OTHER - NUMBER OF STORIES TOTAL LAND AREA ..,-,—,----- -- . DEPARTMENTAL REVIEW —— - E THgEPARTMENT TYPE OFSr.GEDISPOSA r4 umosul OF pRoposED BERDOMS-- VATE NUMBER OF EXISBEDR0OMS C -- - IN VI DUAL ' I LSEPTIC ) NUMBER OF- OPOSED BATHROOM _ - APPROVED DATE INDIVIDUAL WELL NUMBER OF EXISTING mva-now PUP TYPE OF WATER SUPPLY O PUBLIC ( NAME OF 7°ATER SUPPLY)._ APPROVED DATE 0 PRIVATE ( NAME OF WATER SUPPLY) PLANNING DEPT . WITHIN SHORELINE JURISDICTION O YES NAME OF ADJACENT WATER BODY --- _ APPROVED DATE BANK HEIGHT---- SETBACK -- . PUBLIC WORKS DEPT ROADB RIGHT-OF -"AY WIDTH NAME OF PULIC ROAD ---- ---- NAME or PRIVATE ROAD APPROVED DATE ROAD ACCESS P=IIT REQUIRED 0 YES 0 NO _ , ---- -- - 0\ IDENTIFICATION NAME 1 PTAILING ADDRESS ZIP TEL NO OWNER (:: ' Ali6e4H '9,110e> tfYi- ----_-_- - ----- . ....—__J CONT ------- --TFT7Cia LTL., ------ , _ . ARCH ... . --- THE OWNER OF THIS BUILDING AND THE UND77RSICVED ?GEE TO CONFORM TO ALL APPLICABLE LAWS ,....-....---......- ". SIGN TUI(D 7*.P. ICIT A”r1-17.ATIrT D.-,TrZ nrcEirrNur125n CHECK NUMBER OR CASH it API' OV 6 BY 1,, ..B.61T FV:7 A p S , tbQ BAS7: __ FEE INSPECTION , . _________ v , , BLDG SURCHARGE PLAN CHECK JEFFER , . GY SI,. 18 ENEr7 =HARGE t --------- 6/- - TOTAL SON " PLANNINGC-nATV TE 911 tRRIBER - REFUND DATE DA ISSUED a BLOG 9Epr BUILDING OFFICIAL I i1 9/69 VazpV oomq / • _TFF'FFRSC)TT C.'C-)LJTTTV RT7T T.T)T TTC3 1 F.RMT T Jefferson County Planning and Building Department Courthouse, 3rd Floor PO Box 122O Port Townsend, WA 98388 208-388-9141 PFRMTT # •RLD89-0103 DATE TSSUED. : 11 /07/89 SITE ADDRESS: 830 F. MARROWSTONE RD :NORDLAND, WA 98358 OWNER •KURT STF.TNRACK PHONE,: MAILING ADDR:Fi3O F. MARROWSTONF. RD :NORDLAND WA 98358 CONTRACTOR. . :NO CONTRACTOR PHONE: MAILING ADDR: CONTR. LTC #: F.XPTRATTON DATE: PARCEL NO. . . : 977700-098 LEGAL DFSC. . :STR 09-29-01 EWM, TAX LOT , BLOCK DESCRIPTION OF IMPROVEMENT: shop ( ) Footing/Setbacks (Shoreline Setback) /Mobile Home Blocking: ( ) Foundation: ( ) Underground Plumbing/Underground Tnsulation : ( ) Framing/Plumbing/Chimney• ( ) insulation : ( ) Sheetrock: ( Sewage Disposal System Final ( V) Final/Occupancy Approval : �.v�, �It u g'-9J---- CALL 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. K a — 660'— JEpnc vwj, i F,±�ca` I Sr IY 6 i t3UIXIMC� s,Trz- LNt-�F (Arri t �a2 I°='+O, WELD �40 � TANK 3ulLDi M G— G f�� ��— EX I Sri MC, 14 -q ,G I SNctj i 1 SEP 44 D2Atm gSLL• O `,�QP655i BJILC�*�b 90' N6� SUED SNEO N 1 SETBAu� _ Ror rZ�r� 630 F . MARROWS 10ME I i , NODLANP , WA. SCAB=. I"= SO' CW't-,IEZ: KU21 S-MNM-04 y-3$ WILLW 6-r ��'�cJNS :`I�� OA. 91'36S1 l r„v�� r/id�PohJS�NE .cc7 �r_L. -385-603Z