HomeMy WebLinkAboutBLD1989-00482 :- - --
BODING r-TRNIT APPLICATION Alk •
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Jefferson County Building DepartmentP .O . Box 12201Trt Townsend, WA 98368
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40CATION
SPECIFIC LOCATION SITE ADDRESS _
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POSTAL DISTRICT /54 DIVISION
LEGAL DESCRIPTION LOT BLOCK DIVISION TAX NUMBER
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PARCEL NUMBER -(2.11 ;_ilLec..„, . 1 1 / 4 SECTION
PLANNING AREA SECTION , TOWNSHIP. / NORTH RANGE Z WM
BUILDING INFORMATION
/
BUILDING TYPE TYPE OF IMPROVEMENT / -QuAnE FOOTAGE
0 SINGLE FAMILY 0 NEW BUILDING / M; N FLOOR
0 MOBILE HOME 0 ADDITION / 2ND . LOOR
O MODULAR HOME 0 ALTERATION / BASEM IT
O DETACHED/ATTACHED 0 REPAIR CRPOR
GARAGE 0 REPLACEMENT ' GARAGE
,.4'>... (b/WOODSTOVE 0 WRECKING/DEN ,LIT,ION ' COMMERCIAL
O MULTI - FAMILY 0 RELOCATION/ 1OVING INDUSTRIAL
- ----
-) NUMBER OF UNITS
MOBILE MOTIF,
---- -'' 0 COMMERCIAL
O INDUSTRIAL SIZE . 7
c- ---- 0 HOTEL/MOTEL/DORMITORY "AR_ O CD $ I 6
MAKE_ _ _ _- .., Id @ SO
NUMBER OF UNITS -- _0 OTHER - SPECIFY @ $8
EST! ATFY Cer:', ST OF
UBC OCCUPANCY GRO i27 , IMPROVEMENTS
Er
.4_, ____ TOTAL FAIR MARKET VAL
$
SELECTED CHARACT -RISTICS OF BUILDING
- - -PRI IPLE TYPE OF FRAME --- -
PRIp(cIPLE TYPE OF HEATING FUEL
Nt
(1117WOOD FRAME LKELECTRICITY 0 COLLECTIVE SOLAR
O MANUFACTURED 0 1,::-ODSTOVE 0 PASSIVE SOLAR
O STRUCTURAL S1EEL 0 GAS 0 COAL
O REINFORCED CONCRETE 0 OIL 0 OTHER - SPECIFY
O MASONRY ( WALL BEARING )
DIMENSIONS
O OTHER - NUMBER OF STORIES TOTAL LAND AREA
DEPARTMENTAL REVIEW .
.---
HEA LT DEPARTMENT TYPE OF S EWA CDI S 1"0 S A L NU1S79 OF PROfOSED BEDROOMS
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0 PUDL I C OR F r‘Z I A.,PI l''E trUmm-11 qp--EX I ST INS BEDROOMS
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0 INDIVIDUAL ( SEPTIC ) HUM OF PROPOSED BATHROOM
APPROVED DATE
Ll INDIVIDUAL, 'A'E.1..L ,MB ER OF EX I ST I NG BATHROOM
------------——--------- -----------------------
.,.----- PUD )?"''
T P, OF WATER SUPPLY
O PUBL. ( NAME OF )niTER SUPPLYI.
\ APPROVED DATE 0 PRIVATE : AMr. OF WATER SUPPLY)
•,...S'--- PLANNING DEPT . WITHIN SHO - LI - JURISDICTION
O YES ME OF ADJ NT WATER BODY
......,,,_ ..-
APPROVED DATE „. ' BANK HEIGHT SETSAtK
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PUBLIC WORKS -1::YEPT ROAD R I GHT-OF -WAY WIDTH ,
- , NAME OF PUBLIC noAD
,.--. ,.-. NAME OF PRIvrTE ROAD --,
APPROVED DATE ROAD ACCESS PERMIT REQuIRED 0 YES 0 NO
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"-I DENT I F I CAT I ON
NAME MAILING ADDRESS ZIP TEL NO
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OWNER . , o, „ (..
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CONT
-..;777-77:. -L-1171::7 737.7777. -u—1---- —
ARCH
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THE OWNER OF TOTS /31,,ILLDING AND THE UND3IC'''7D AGREE TO CONFORM TO ALL APPLICABLE LAWS:
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cr-fr.:',CK NUME3ER LI CCISIH
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----` : APPROVED BY
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-_---'/ 17_P— rt,.c•r' FEE. 1.-1,
. -, INSPECTION
BLDG surzczTIRGI: PLAN CHECK
BUILDING OFFICIAL , ENIMGY surzcliAnG!e• 7•
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P - ,
-I, ::-4 , TOTAL
91 / Num9ER REFUND DATE DATE IS'OJED ,
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