HomeMy WebLinkAboutBLD1989-00532r
BIDING t 'EMIT APPLICATION
41,
Jefferson County Building Departmentr.P .O . Box 12204Port Townsend . WA 98368
L 0 c AT 1 0 ri CA1Pt- ( s-c>P—St.
SPECIFIC LOCATION' SITE ADDRESS 140r._) (A/176(- AOLCAPI- riCt .
POSTAL DISTRICT ( itt - /SUBDIVISION tAl.LEGAL DESCRIPTION DESCRIPTION LOT BLOCK_ DIVISION 7 TAX NUMBER 14-
_,;2, .4,ARCEL NUMBER 00/ / 2,..
82. ,c1 . 1 / 4 SECTION
PLANNING AREA /SECTION (ES TOWNSHIP 3.0 NORTH RANGE ( _6W1A
BUILDING INFORMATION
BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE
* SINGLE FAMILY NEW BUILDING MAIN FLOOR LOC R
O MOBILE HOME 0 ADDITION - 2ND FLOOR 2,4ki-b' 017
O MODULAR HOME 0 ALTERATION BASEMENT -61
O DETACHED/ATTACHED 0 REPAIR CARPORT ---q4A)---
GARAGE 0 REPLACEMENT IGARAGE
O WOODSTOVE 0 WRECKING/DEMOLITION ! COMMERCIAL
O MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS
---- MOBILE HOMES
O COMMERCIAL LOE-0 al $35 SIZE a r,ZC
c\1 0 INDUSTRIAL
O HOTEL/MOTEL/DORMITORY YEAR -
- @ $ 16 . -( Lli(?(2
'1‘ 3 NUMBER OF UNITS MAKE - -q(-AP/
v J 0 OTHER - SPECIFY
ESTIMATED COST OF 0 @ $8
IMFTOVEMENTS TOTAL- ' 2 7KET VALUE UBC OCCUPANCY GROU
N. _
SELECTED CHARACTERISTICS OF BUILDING
<3-- PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
tel"9 W WOOD FRAME 0 ELECTRICITY 0 COLLECTIVE SOLAR
CY— 0 MANUFACTURED 0 roODSTOVE 0 PASSIVE SOLAR
O STRUCTURAL STEEL 0 GAS 0 COAL
O REINFORCED CONCRETE 0 OIL 0 OTHER - SPECIFY
JO 0 MASONRY ( WALL BEARING )
DIMENSIONS
0 OTHER -
NUMBER OF STORIES 2- TOTAL LAND AREA/Leg,
c!CD
DEPARTMENTAL REVIEW .
HEA TH D ARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS le
9:7
/-
0 PUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS
lOINDIVIDUAL ( SEPTIC ) NUMBER OF PROPOSED BATHROOM 2,
0
-- APPROVED DATE INDIVIDUAL WELL NUMBER OF EXISTING BATE-ROO/A
----- ----------m....
PUD TYPE OF WATER SUPPLY
O rupLic ( NAME OF TITER SUPPLY)._
APPROVED DATE 0 PRIvATE ( NAME OF WATER SUPpLY1ClArt-61eCe"4"t
- . -
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
O YES NAME OF ADJACENT WATER BODY
lot NO
APPROVED DATE BANK HEIGHT._ _ _ SETBACK
_ -
PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH 60 .
NAME OF PUBLIC ROAD
NAME OF PRIVATE 1/OADCr.7:
,.•*,,
APPROVED DATE ROAD ACCESS PERMIT REQUIRED 0 YES ig NO
- - --- -----
-. -
IDENTIFICATION
NAME ,
MAILIN AoorriEs --- 7. 7P TEL NO
OWNER . -RD-AICe(1-661
° ,41 SKIM
1 -----
CONT t-S6Q-S / gill St .1rt•Ogret0 44 X5146V2_
1I+.111,-ARCH --
J _
4yHE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS:
.,_ ''' NATURE OF PLICANT APPL CATION DATE rlEccirT NuN:IBra CHECK NUMBER or 7_72)
AP ROVED BY PE MI FEES
A V E D 50,(k-) BASE FEE INSPECTION
T , BLDG SURCHARGE PLAN CHECK
1 L,
ENERGY SURCHARGE
FFE8 C IJN \ /S TOTAL
PLANNING&BLDG DEPT\ 911 NUMBER REFUND DATE DATE ISSUE7gol
------
BUILDING OFFICIAL /
171LJ. ‘ . 03 /
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