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HomeMy WebLinkAboutBLD1989-00541 LOCAT Oh ,_.�____ �� , {{p `aP�C 1 F 1 C LOCATIONION' S 1 ADDRESS _ "•�.._ eI�iN /"-: a /- "c, a �� s POSTAL DISTRICT /SUBDIVISION A,q-y �Ea CI 616 LEGAL DESCRIPTION LOT i BLOCK 3 22 / DIVISION TAX NUMBER / /00 d D/ PARCEL NUMBER ..- �� ,Q PLANNING AREA ^ SECT 1 ON r / 4 SECT 1 ON • /1 ' TOWNSHI P �'" 11-14ORTH RANGE &/i'`- WM BUILDING INFORMATION , BUILDING TYPE 5� — TYPE OF IMPROVEMENT SQUARE FOOTAGE �. ('� MAIN FLOOR ' C* 'SINGLE FAMILY ❑ NEW BUILDING .. % 2/6, ❑ MOfI 1 LE HOME r 0 ADDITION 2ND FLOOR titer.. ❑ MODULAR HOME 0 ALTERATION ❑ DETACHED/ATTACHED BASEMENT ❑ REPAIR '-ems Rao+u0 egi, GARAGE 0 REPLACEMENT .170 ❑ WOODSTOVE GARAGE �"` 0 WRECKING/DEMOLITION COMMERCIAL 0 MULTI -FAMILY ; ❑ RELOCATION/MOVING INDUSTRIAL NUMBER OF UNITS____ C 0 COMMERCIAL MOBILE HOMES ❑ 1 NDUSTR 1 AL S 1 ZE °.,. 0 HOTEL/MOTEL/DORMITORY YEAR ► ,� $ If, NUMBER OFUNITS MAKE `,,, r, -.,,,__T yJ 0 OTHER SPEC $9 �G t'''-� ql.- ECIFY \ ,/�� _ ESTIMATED COST OF $8 �•.� �, (1 . UBC OCCUPANCY GROUP' IMPROVEMENTS $ 7/!Q ©0 TOAt l A/ 9 .MARKET VALUE SELECTED CHARACTERISTICS OF BUILDING PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL WOOD FRAME ELECTRICITY ❑ MANUFACTURED0 COLLECTIVE SOLAR ❑ STRUCTURAL STEEL 0 WOODSTOVE 0 PASSIVE SOLAR 0 GAS 0 COAL ❑ REINFORCED CONCRETE ❑ OIL ❑ MASONRY ( WALL BEAR 0 OTHER - SPECIFY / , BEARING ) ❑ OTHER - i? DIMENSIONS NUMBER OF STORIES / TOTAL LAND AREAJ O �� DEPARTMENTAI, 'REV IEW HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS 4//4 Er--PUBL I C OR PRIVATE NUMBER OF EXISTING BEDROOMS_ APPROVED DATE ❑ I ND I V I DUAL ( SEPTIC ) NUMBER OF PROPOSED BATHROOM 4k 0 I ND I V I DUAL WELL NUMBER OF EXISTING BATHROOM PUD TYPE OF WATER SUPPLY 0 PUBLIC ( NAME OF WATER SUPPLY) POI,* .4 � ���!!! Y"Ld APPROVED DATE 0 PR 1 VATE ( 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 o 0 YES 0 NO ENTIFICATiON r< . W•r r� � MAILING ADDRESS ZIP T E L NO r, '' f ' ,r; Q CONT t oI3i,E4LIP'G 1.2 3 11377 `7 1 ARCH rHE OWNER OF THIS BUILDING AND THE. UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS, SIGNAT67.F A- 1 ��' A APP I ATIO DATE RECEIPT NUMBER CHECK NUMBER OR CASH Z 7 g > 1 APPR VED BY PERMI FEES FM P \R VVE 7 !/- �� BASE FEE INSPECTION ,,, 1 ? ill . BLDG SURCHARGE R f,-.. PLAN CHECK y ti,ITY / ��—� ENERGY SURCHARGE p, ,1 30'34.F� ice" %lC, •:C TOTAL Pk!{ �aaG DEPT �Ck 9 1 1 NUMBER REFUND DATE DAT .sp D BUILDING OFFICIAL r I 4/Crie. " ls'aCye. C g S rZ:v7-- _' ey. AO. I �______ __. p m eA OISE PAT kv re/I y g te.,7—L ai:A.o w 1'9 36 s- SE /� SSG lG T 2 S e,aI,e , -V3 7- Z/0 / P.2/2 • >;n:. cc� L w� 5'2u/ d Y ° / • . ta 1718 w N 79'46'34. N R 0 50.000. 1717 rr) id d 67e12 0747 .r. Q7i7..__-_tU9.46..34" u 36.00 'd746 �5753 $044 v 4 .-_..._- +� 57 m 5744' 1 1 1\/ 1 1 y 1 1 8 1 al !g w 1788 `w icy? N1 a, r1 6760 w 6 20 _ S. n Oti p0 1 1 1 1789 1 1 l AI 1 - �^ v.i 1 a"'A .47a1 8, 67" q 07" . 50.801` S` , tv "" - . 1770 -14 89'19'257-E 171- - JEFFERSON COUNTY pi 7c°''N'4&Oc UPI 1 4t _ 4'4"4 4 j P 4®._ /�'T AID 0 "44s- €) 444'r‹.. --7-, ,4elde A. 4,.. 7ice4w_ LJ..1 a.,,,, C27:1 ''''' '//ye.ii. e.....e eta-E.4,..., e c,„..„,..„.), its ?' '-`—e--771‘A' "A. \1-p ez -05-41 o ---- i/V, (3)drier:4c ,A, -u,, cam ,- ," ,v. . o -'' o /A J� (22_,A,Ka. 67 Z Otc 0 �/"`,c,,c,1 /t%, r745 a'aw ''...'.''.3 qr,—) P 2-4—1/4J -^ ,k__ (___ =r_t4,4, V; Ve.2./Q 0 4,2"(/ ?t:. '- C 4 / fi U4