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HomeMy WebLinkAboutBLD1989-00524 Jefferson County Build! , B ing ..DING'p 'ERMIT APPLICATION 0 De artment•P .O . Box 1220.Port Townsend. WA 98368 LOCATION / s / /) SPECIFIC LOCATION SITE ADDRESS ,(/7 Y �//�/// /7 P /4)7 k " POSTAL DISTRICT AgAbo /SUBDIVISION el-Cr ® LEGAL DESCRIPTION LOB' /% BLOCK DIVISION TAX NUMBER PARCEL NUMBER-X Oa/ -3.?/-05 (P 1 / 4 SECTION PLANNING AREA SECTION k'a. TOWNSHIP ).30 NORTH RANGE * /E WM BUILDING INFORMATION BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE SINGLE FAMILY 0 NEW BUILDING MAIN FLOOR ❑ MOBILE HOME 0 ADDITION 2ND FLOOR ❑ MODULAR HOME ALTERATION BASEMENT ❑ DETACHED/ATTACHED ❑ REPAIR CARPORT GARAGE ❑ REPLACEMENT GARAGE ❑ WOODSTOVE 0 WRECKING/DEMOLITION ( COMMERCIAL ❑ MULTI - FAMILY ❑ RELOCATION/MOVING INDUSTRIAL NUMBER OF UNITS MOBILE HOMES ❑ COMMERCIAL SIZE ,� @ $35 ❑ INDUSTRIAL YEAR q� $ 16 ❑ HOTEL/MOTEL/DORMITORY MAKE $B NUMBER OF UNITS OTHER - S ECIFY ESTIMATED COST OF $8 fj'4,( 1 OjU� ^i`e t IMPROVEMENTS TOTAL FAIR MARKET VALUE i` - UBC OCCUP NCY GROUP 12-3 $ ©oo. ,4,9/• $ SELECTED CHARACTERISTICS OF BUILDING N. PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL 1 WOOD FRAME ELECTRICITY 0 COLLECTIVE SOLAR '' MANUFACTURED WOODSTOVE 0 PASSIVE SOLAR (,,,r 0 STRUCTURAL STEEL ❑ GAS 0 COAL ❑ REINFORCED CONCRETE 0 OIL ❑ OTHER - SPECIFY ❑ MASONRY ( WALL BEARING ) DIMENSIONS // I ❑ OTHER - , NUMBER OF STORIES TOTAL LAND AREA �/ ,) DEPARTMENTAL REVIEW ---- HEALTH DEPARTMENT 1 TYPE OF SEWAGE D I SPOSAL NUMBER OF PROFOSF,D BEDROOMS Z /� ❑ PUB I C OR PRIVATE NUMBER OF EXISTING BEDROOMS 27/ .., I �/G 0 I ND I V I DUAL ( SEPT I C ) NUMBER OF PROPOSED BATHROOM al`f APPROVED DATE ❑ I ND I V I DUAL WELL _ NUMBER OF EXISTING BATHROOM (2 PUD TYPE OF WATER SUPPLY ❑ PUBLIC ( NAME OF WATER SUPPLY) APPROVED DATE ❑ PRIVATE ( NAME OF WATER SUPPLY PLANNING DEPT . WITHIN SHORELINE JURISDICTION ❑ YES NAME OF ADJACENT WATER BODY ❑ NO ; APPROVED DATE BANK HEIGHT SETBACK PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH NAME OF PUBLIC ROAD < NAME OF PRIVATE ROAD APPROVED DATE ROAD ACCESS PERMIT REQUIRED ❑ YES ❑ NO IDENTIFICATION NAME MAILING ADDRESS ZIP TEL NO OWNER V/fi ai C`< R ort) X o7(P.3s` } ) d7.e4' , -1/ a 77-c, qv/6 7 _ y sy«F,e , s3�� ,fi= /42)i-E F38.2 UI2w /.ek 2r). s�.. . PT okcri4 4'7F3&G, a7/-37/ _ y CONT ?V(LineA� - STATE L rCENSE NO 1 ARCH t THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS, S 1 GN��E-I'O�F APPLICANT /1C� APPLICATION DATE I3 ?? 7 R � NBER I CHECK IQJUMBE�R CASH APPR%`AL�Ij,EDiv BY Y PERMIT FEES 1V^� B �� BASE FEE INSPECTION AP , S `0- 3 BLDG SURCHARGE PLAN CHECK MAY 1 1989 o t- + ENERGY SURCHARGE $ L�J TOTAL JEFFERSON COUNTY SU PI r''IN(= I NOREFUND DATE 6 //S//DATE SG DEPT9 1 1 NUMBER . BUILDING OFFICIAL - n a• , . a a • .... ......... ct ... 1 1 1 , cs. , c...kh . 1 A [ r — zi I w ti ? i ...,1 ill&It. ' W A Yi, LL Z 1-'1 Y 6 oil ; c. z... vi . , 1 . -Aert ____ ;1A 1 N...t.n. ' . . , ...1) E 1 1.- r--- ..,. 0 .... W ..... .... —.. T.- 8 ic ; v ....1 .J.... ,L____ . ....„,_......., . ..„.„ , ,,,,,,,,,,t.. 4,.. 1 Z. 'go, 71 Z.• )1- •. Fsehi g V tidli ill r II fai • 4 ....... ..... ft. 11 ...... • 1 t , (mi) Idc N Q 1 T 73 • . V:, : 0 : , W Tli 15. -p. f • . • G f , -- 8 I N0: „, at c9 s --r- 'rill p al il =,7 C S /1 a in 4 . 1 • ' , • , N..1. ..• 0 . >" .0 ir.. - 0 Lit _,...._., Iv H tl,',- i, . 1 '"\ ,,-- ei 6 IQ v. i 21 11 1 21 r- 1 an i9 ftk (-,01, tr, -i P o 1 i A0E- ... i \ i ,_. -,, -*I A ,k AP 4.• I 1 _ e'.. 1' E V 1 ..r.7 __,.....1:.:!Iii zi :i 1 N CA al -1 0 r, r' N ri III . ..... , ... .. . 1. Sd L6\ J1/41 166. • '..-" t1.49..1%.1:6t.s. 1.1%4 N41/4.1L 11/41•4- 's'41`004.fL. 157A146.. 'I* AP MO 1 5 19'' Pt_ 07 FatAt-L., JUFERSON COUNTY KAMM;&MG DEPT td-Nrtr41.- 94.40,01s) j',744_00te. (q ) cjj k s 7-17-ckk. &10,1844e- \.o tpLISL CA .1"" Kr' 5134/ •-• rfrOVI `.• - Ala f)6, 44 ho,Ae-