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HomeMy WebLinkAboutBLD1989-00607 r 953, . • d 95 11t0 Jefferson Cc'unrl B•r•rrnQ OrnaB rnt►N•GCof untt_li✓.11 d Cp1urtnousrAt r'LILA1 ION . Port Townsend s V. N a. ne R I ROAD ,e dCA-a2-- $ "-1-el t ,� �j SW,SIDE OF �^ar I. LOCATION. auyvnn.r n�Te t+}`-'�� ROAD h E /DGE D� /t90t'K�A/G �.Pn G �y�' ,S-W iROtJt ItVTERSECTIONOFt�SPRQY � ROAD AND ���.0 �/ r �i0, ��� other specific location or ranomarb Se— _____________ i2� L VD ' r:tJ LEGAL DESCRIPTION' SO"'"� l k Op1tJLOt Blocs "D Y.Section Ilion Townsmp Rana Tax umber 1I.TYPE AND COST OF BUILDING , MOBILITY BUILDING TYPE TYPE OF IMPROVEMENT ftlew County Resident I single Family 0Add building Is this structure to serve the residential 0 Multi-Family , Addition or commercial nerds of those Implore number of units� Tridentse Ol 0 Alteration ❑Hotel,Motel. Dormitory at either the US.Navy s 0 Repair,replacement number of saws— -' Indian Island Facilities? ❑Wrecking ❑Mobile Home Moving(relOca\ion) 0 Other -Specify ❑YES NO ❑Foundation only ------------- USE Full-rime Residence . OWNERSHIP /�❑� Second Home. Recreation Cabin,etc. Privatr (individual.corporation, _nonprofit institution,etc-) ❑Second er _enures dense: Fturersron to ❑Public (Federal.State or local go✓t-) UBC OCCUPANCY GROUP: /Omit cents/ Nonresidential- Describe in detail proposed use of buildings.e.g.,food COST rttachine shop,laundry buildsng at hospital,elementary S >J processing plant, rkina, for • Cost of installedtl improvement -J�J y' school,secondary school,col►ege,parochial school,pa anT be bove cos but nor included department store,rental office building.office building at industrial plant. the aboca cost a 0 ©S If use of existing building is being changed,enter proposed use. a. Electrical �O ® / b. Plumbing (9j //D/ - 7� - 3 _ L Heating,air conditioning �y < % ""� `?�"� d Qther Ieletrator,etc 1 ,J -� , • TOTAL COST OF IMPROVEMENT S �/ 9 N _�� Ill.SELECTED CHARACTERISTICS OF BUILDIN Q _ A I DIMENSIONS TYPE •• SE AGE DtSP• • •Number of Stories -----� PRINCIPAL TYPE OF FRAME . 0 Masonry (wall bearing) )4 'ublic or Private •total square feet of floor area, all floors,based on exterior Wood Frame 0Individual (septic tank,etc.) dimensions. 0 Structural steel S n�c vvvTYPE OF WATER SUPPLY •Total land area,sq.ft. Reinforced concrete ❑Public • or private company NUMBER OF OFF-STREET t•rw. 0 Other-Specify ❑Individual (well.cistern) PARKING SPACES Vs`� Enclosed-- V . PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE Outdoors �+- 0 Gas RESIDENTIAL BUILDINGS ONLY /��3 SC,/✓�y ��'� ❑Oil Number 01 bedrooms ' `/ ❑Coal i- TYPE OF MECHANICAL Full �} ❑CAI Number o1 FOXY/�i _,, 14; ,!,,.,'_.„ bathrooms Panral Q. ❑Other- Specify Ile/ ! IV. IDENTIFICATION- ZIP code Tel.No. Mailing Address-Number,street,city and State Name ZIP � _ ,3 1. s�(ie.�>�// o s Ai Owner #iL,LZ T ,e-- 4/.0 BASS R.D. ,<-.PT1'" cv,f.® 2: ,c G/,QC/ Ca.�s% f�Ye 4 ' e /y 2. tate men 7• _O m r [ontractor _ �.... i �. 'J Lc� SuT�/ate' 3. 9 CY ,g,'Pc s . 97 3 Architect "� 97 , 'S iC.�JPl� The owner of this building and the undersigned agree to conform to all applicable laws- Application date ! ` Address y�0- BO K va0- �j c $.g�,a,urr of avo,icsnt /,� 4 0C.r7e c, cv/57. !O 76� -�O'- i '' r f FIRE DISTRICT_— SCHOOL DISTRICT WATER DISTRICT _: PLANNING AREA APPRO DB i- d1C. , >Q c� tee__ ter.MU Ors pE.(1141'r3' "•�• S JerFcw ISSUE DATE , a )PERMIT FEE /� APPROVED Y: 31,S / (O/457 ��p„yy� �j3 c s e r . c suit. OF I �(_ (� A JEFFERSON COUNTY • PLANNING&BLDG DEPT . , — _ .- - •R , 1.50 oo. ..----• 5 4J •3o ocr r t.". - - L' 2?d 1,c• 62 7 /fr C 1 ,/. QO a° ' •.-•• tl . • ___). r ......„.• rNi -Jr-cxycio- vs - - .• , , 1 ` \e 8 976 A c • co . •r / / r 3 ' .. L. • 1040 57 )1- , c 7:.... 411.. arY 1 ' - - - — ,e • ,• ' -4 , 3t�' - • • Q O/ ' '• ' t f / t, I • A • 'WT1a '/ •. ` �Q ' 42.4, • • / -4,4„, ffoR ii 'S- , if 1 • ic. 4 • a",' * . • 4 ' • 4,, L • S2 art P.4,' 0% I (No ti • b • 4. 2. C,1 47 a • " -., / . -::, , ., .k ....... . 1 • • /5317* • s tr- as 0/4 ". I .., lc ,„,ri. 8• CV• Si` 4° .e j o lu ti .4 ‘40 C t qii . 1 cli . . , tit :% e e 1 No • • pl• i a• gi AC 4frli94'4 'T ,,,,,,,„Afreie 7— .0e.et>4,406'.4.i c-• sv/ Q s oie4v .cis d.eww Q• 6,co I. 1i3. 74• ; G • C ,.014141 ..11-ERSON COUNTY NANNING&BLDG DEPT 7---Z—A- 4 1 ji AL4 cCe-14,CerA9 C...)e_.L. 0 c F2,1, -17 0 i 1 Jm? ( . ------------- — -C.?:,,- 171},. ..s,a c_ P•1/4--- —2...)'-9— 1 0 e, srk,,,\,, ,,,,,_,,, V7 /70 iwsr4 / 1 2/0/// 6 ,al 0,4--- .'/ -12 s--t--‘ c--(.. --1,,, -5'1111.'kb 4-'-eC.V•-12 -..s_1...wiJk 0