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HomeMy WebLinkAboutBLD1986-00679 Or a line-If • CO✓^rY CO rthO,:se • F'O'1 Tov.--,le"d. E:Js^ _ C • -- -- _ N E fEET S W SID: Of _— --- I LOC ti- Pup ar^.r n.+.. ___-.---- -_.--------- ROAD t. E AN ROAD O'• S W f ROM tN1E R5E Cl l0N OF — -- \ / /3— ((__ .OLQ _____,/b_______ anctmarr �C�C/` p/nrI 1OKiliC rocalr0^ Vr �/j My�j �� � �, / - ��-C� 1 SvUO son .___I___,._ LEGAL DESCRIP710N Blocs Cd Lot l . lownan,D fianpr \T' y o ©R3 sec„on a� n �� (,'� to Ta• NUmDrr % se,,,„„ 1 IL TYPE AND COST OF BUILDING MOBILITY BUILDING TYPE TYPE OFNew IMPROVEMENT 0 New County Resrdenl 'Single FamJv residential Nrw building Is In,s structure to serve the ED Mutn-Family came,c,ur needs of those emDtoved �\ Addition number of unrn�-- or cu lVF at either the US Nary f Trident or Alteration Hotel-Morel, Gormuory Facilities' y Indian Island ReWir replacement number at unrn 0 Wrecking0 Mob to Home ONO O Other -Specify 20t10�• O YES Moving Irefocat,onlCD SNE4-74//n 0 $ NE IN / ooF Foundation only Q /)lam0 (vs NE /'G�e+ c_v a ❑Full -time Aes.den¢ OWNERSHIP NE l N5 /�(tpwitxD lOGda� 0 Second Home Recreation Cabin,eti Private (individual.corooranon, _ �--- nonprofit institution-etc_) 2 3 ❑Seto^d Horne Future residence s�. to ❑Public (Fede al State or local goa(t-) UBC OCCUPANCY GROUP__-- pHorne F ture COni sc-rtbe rn detail proposed use of buildings-e g .food /Omit cents/ Nonrcvdent al - Dr mrn:ary COST processing plant, machine shoo"laundry buildinc at hospital-e e S p ochial school.par rcrna car aor for • TooSt of Vmpl d bur n school secondary sCno01. college, oar ,n0 ustr,a D'anl thee installed bur nor included department store,rental office burld.ng_otl�ce building at it use of e:istIng buii0ing is being cnanoed,enter proposed use HI aoo+[Cost �^ a Electrical }/ Cam /J I ! ',De r'+� b. Pturro,ng (.-- ram%��h t %C�` s c_ Heat ng.air cond.nonrng d Otner (elevator.etc.) ,9 • TOTAL COST OF IMPROVEMENT S "5-6 ( do`s 1 48�� III.SELS CTED CHARACTERISTICS OF BUILDING DIMENSIONS Z TYPE OF SEW E DISPOS • rn Nuoer of Stories PRINCIPAL TYPE ll FRAME O Pu c or P e •Total souare feet of floor area. 0 Masonry (.+a bbearing) all Moors,based on exterior / / - rand ual (seprrc tank,etc] all Frame �r ��}��rood ructural steel TYPE OF WATER SUPPLY •Total land area,sq.Et- S Rc,nioresd concrete 0 • Public or private company NUMBER OF OFF-STREET Othn 0 -Spec Specify O Indrvtdual (well-cistern) PARKING SPACES Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLUG E Outdoors El Gas RESIDENTIAL BUILDINGS ONLY 3CXA Q OI Nurt.per of bedrooms Ty}.E lect nutY TYPE OF t•'1ECHA..- Full 2 e T (\/e&-) Numoer of O Coal 'Y OJ '�C /! b,al hrOOrTtS Partial Other - SPe� Y 2440-4v ZIP code 1 Tel. S.IV_ IDENTIFICATION - Marling Addresses- Number.street.city and State �Z Name 3 7/ Y Ex— ; ,.4 /136-s �Ll4 •Pit i Owner 2. late License No. IINIIIIIIIIIIIIIIIIIIIIIII 3. (.•��/ Cpntracto o/,�n/� Architect The owner of this building and the undersigned agree to conform to all applicable taws. ADDirca,.i C Address / J� Fy�v `'.c of applio, " � /C�'il Pr �✓P• s at e k/ 6 SCHOOL DISTRICT WATER DISTRICT FIRE DISTRICT— �d /� vaa� PLANNING AREA / / CAT-�� y /7y Zy 8� Gar+a,iza. APPROVED BY J l -evr�J t� /7�'�-7N / D// A �• �,° JceR[wso+Cau.+T,r►+tin a_TM pF� ,/jA,yt E-7- PERMIT NUMBER � � _-�+-� PERMIT FEE t UE D TE el t APPR a • (� � 1 cz .-51 °6)/03/8 ridn a. • C. gull QBG O CountA IT 81 • P 16 44 D oqz P2,4r OF CL // /J 8é4(h', &7J 87 t34 ,>< .8 owi7Pr.'Cov7,-0ifA-• h/4M 31//1 Vey,/fr Ale 8 / WA/Y0' E, /y - - i/E4',1/E42 AVE. r La7/ 87 ,1to188- • / / 8f - /1'S` 36 -3- r .26'3 /af f/,d.- /26.5/7; Z 3, ..,2'1//soy 33B9 el.�/ /tY 8 a' 8' ' - .6 '" 55-9 6 . /1 . 8, ze'3' 0,.. fr o goy , vi 4, OtS1 0 tap If il/14, c:77 4t-fri)fri w THIS PERMIT WILL EXPIRE ONE YEAR FROM DATE ISSUED.APPLICATION FOR RENEWEL FOR ONE YEAR WITHIN 30 DAYS BEFORE EXPIRATION. ....--.—.: JEFFERSON COUNTY HEALTH DEPARTMENT // I() 802 SHERIDAN AVENUE INSTALLER /ICI, i LC1✓13' PORT TOWNSEND.WASHINGTON 98368 RECEIPT NO. b/s7D (206)385-0722 BUILDER SEWAGE DISPOSAL PERMIT DATE //��,� • Submit in Duplicate / /• /7/`f /7 (14qt [, C7 f/ 1 :»--,i E,7" ✓74`( /�]�2tf�/!C'zC' `� '7�'�-/ l Owner / Address Phone r- 3 [/I Cx?t! d7 Alali NMGt �S m 0 Directions for locating site o m co xi _._INSTALL NEW SYSTEM 0 REPLACE SYSTEM❑ PARTIAL REPAIAr TAN ORAINFIEL O TYPE OF NO. OF � ) SITE BUILDING F zu,,, e BEDROOMS BASEMENT f l/0 .SIZE /i'( x 7<5 I' 0 m DRAW DETAILED PLOT PLAN BELOW. STUB OUT PLUMBING ABOVE FOUNDATION FOOTING �" (or draw on attached sheet) j� SOIL LOGS 1 U- co, 2 0 JEFFERSO►`I r �.r�i r/�� �t'__.. S ^ , *%.••• Z •�� �pNNING & BUILDING DEP AUG 2 9 1991 in -4 `;1 i a z f*.. . '''.. ..' aelL........ ... l'13() S? .... Dig two holes per site. Minimum 33 4' deep-2' diam.-50' apart & flag location APPLICANT �1/ a=-1 4 Li 'L._- _._ACjZ ANY REMOVAL OF OR MAJOR DISTURBANCE OF SOIL IN THE PRO SED OR APPROV 1_iZAINF tLD w m AREA MAY CREATE SITE CONDITIONS THAT ARE UNACCEPTABLE FOR T' " aR' iALLATIOf OF A SEWAGE DISPOSAL SYSTEM. ANY CHANGE IN BUILDING OR SE%'1t7:_ D!;.rOSAL PLANS (INCLUDING PLUMBING STUBOUT LOCATION) AND/OR LOCATION OF HOUSE.014 .: ALLNFIELD INVALIDATES THIS i PERMIT UNLESS PRIOR APPROVAL IS OBTAINED F `.,.,-?,•t_TH DEPARTMENT. C 1 aith Dept. for final inspection)., a' I'd He-' t'�ra3rtlieid lengthl?�� Width di 1 DeD � M L` g tns 3 Tank Size_750 .Gat. t..,•4 kf4F..WS: C, t}" r 4, (TWO COMPARTMENTS) O fn • tj 1 A OVf3ATE INSPECTED PARTIAVFlNAL DATE I G fy :; 5iiwas , ..... , the Health Department 2 1NSTALLESIGNATURE DATE r 0 TE INSTAL +‘ 7C2 SV9(11 /66' 0/1/71g) L456- gco 0 7 75/ / 7( - t A //