HomeMy WebLinkAboutBLD1989-00435 faILDING ERMIT APPLICATION . .
Jefferson County Building Departmentt,P .O . Box 1220/Port Townsend, WA 98368 —
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SPECIFIC LOCATION SITE ADDRESS
POSTAL DISTRICT /SU 'VISION
LEGAL DESCRIPTION LOT / BLOCK( _DIVISION TAX NUMBER
/PARCEL NUMBER.' -7 CY I / 4 SECTION
PLANNING AREA SECTION TOWNSHIP { ' NORTH RANGE /i/C.,./ WM
BUILDING INFORMATION
BUILDING TYPE TYPE,. OF IMPROVEMENT SQUARE FOOTAGE
0 SINGLE FAMILY QXEW BUILDING MAIN FLOOR C2
O MOBILE HOME 0 ADDITION 2ND FLOOR ,)( I 6
O MODULAR HOME 0 ALTERATION BASEMENT .,12;--'f ____-
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/--
O DETACHED/ATTACHED 0 REPAIR ARPORT
GARAGE 0 REFLACEMENT 1GARAGE -----
O WOODSTOVE 0 WRECKING/DEMOLITION COMMERCIAL
O MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL
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NUMBER OF UNITS
MOBILE HOMES ,
O COMMERCIAL - '' -
-------,- _
O I NDUSTR I AL GO
O HOTEL/MOTEL/DORMITORY
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mAKE i @ $8 • "1.4'-.. •r-
NUMBER OF UNITS
, ----
Q3/0THER - SPECIFY FSTIM1YCOST OF
UBC OCCWANCY GROUP !T S
$ $
-- TO4*/*W .MARKET VALUE----------
-- --
SELECTED CHARACTERISTICS OF BUILDING
---- ---- _
PRINCIPLE TYPE OF HEATING FUEL ------
PRI,VCIPLE TYPE OF FRAME ---
• WOOD FRAME 0 ELECTRICITY 0 COLLE .1-1--Vt SOLAR
4 -;
0 MANUFACTURED 0 WOODSTOVE A..)SIVE SOLAR
- 0 STRUCTURAL STEEL 0 AS ,,,..-------- 0 COAL
O REINFORCED CONCRETE 0 0 0 OTHER - SPECIFY
'-:-: 0 MASONRY ( WALL BEARING ) DIMENSIO'RS
O OTHER - ----- NUMB R
ER OF STOIES _ TOTAL LAND AREA
- n
DEPARTMENTAL REVIEW • -
HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BE
07UBLIC on PRIVATE NUMBER OF EXIST . BEDROOMS
4Y INDIVIDUAL ( SEPTIC ) NUMBER OFPRZ5IOSED BATHROOM
_-- APPROVED DATE 0 INDIVIDUAL WELL OF EXISTING BATHROOM
1111110•10,1r
a_
13 PUD TYP OF WATER SUPPLY
PUBLIC ( NAME OF WATER SUPPLY)._
-2- APPROVED DATE U PRIVATE ( NAME OF WATER SUPPLY) __ 4_„ _,
CO PLANNING DEPT . WITHIN SHORELINE JURISDICTION
0 YES NAME OF ADJACENT WATER BODY
. --- -----
U/K10
APPROVED DATE BANK HEIGNT SETBACK
_-- - ,
PUBLIC WORKS DEPT ROAD nicnT-(7,- -wAy wIDT1-1
NAME OF PUBLIC ROAD
NAME OF PRIVATE ROAD
APPROVED DATE ROAD ACCESS PERMIT REQUIRED 0 YES n NO
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IDENTIFICATION
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NAME MAILING ADone S ZIP TEL NO
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OWNER
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ARCH
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THE OWNER OF THII., 1,/,:r0ING AND THE umv-tnsicHr:o AG. 17:% TO CONFORM TO ALL APPLICABLE LAWS,
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SIG AT 6)0
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APPLICATION DATTZ 7irlArT mimp7:n CH7K B OR CASH
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APPROVE PE74E's
I FE B1%1777: FEENSPECT ION
A p p 70Z- .. "P7--' -----
E LD:3, SURCHARGE PLAN CHECK
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8,9 ....,___ ENEFZGY SURCHN1GE $ /42 C
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TOTAL
Pi 4PFERR
AVivi -04tr
NG 4 ,owur ill NimBrR RKFUND DATE 1 DAr DDED
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BUILDING aICIAL 1 1 9' K?
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