HomeMy WebLinkAbout1185-10 CITY of PORT TOWNSEND
BUILDING PERMIT APPLICATION
1.0 Under the terms of Ordinance No. 1470, the undersigne& requests a permit to do the
following:
1.1 BUILD A house❑ building❑ garage❑ 30 unit apt bldg.
(other)
1.2 REMODEL A house❑ building❑ garage❑ ❑
�
1.3 REPAIR and/or RESTORE A building (other)
(other)
2.0 The structure is to be apartments after:,completion.
3.0 The structure is located in the E senbe s ,Addition,
Block No. 205 n, Lot(s) No. and faces, Hancock St.
4.0 The followin required drowin s are attached hereto:
N
PLOTPLA � FLOOR PLAN( FOUNDATION PLANE[ TYP. FRAMING DETAILS,
FRONT ELEV, begiWATER SERVICE PLAN[:] SEWER SERVICE PLAN
and cam late b 21 85
/ P y
4.2 The estimated cost is $
5.0 1 hereby certify that I have studied those sections of the Uniform Building Codes pertinent
to the above project; that I understand the permit expires in six months unless work is
started; that the permit has to be renewed each year until completion of the project; and
that I hereby agree to abide by the ordinances, codes, and water and sewer plans attached
hereto.
Everett
(Nme) (Address) 8 334--50,18 1.1 20 "85
a
ress) (Tel. No.) (Date)
6.0 APPLICATION FEE. A fee of $ 2 4,443.00 bas d on the estimated value of the
project, has been received.Surcharge 15 QA St.St. Bldg Code 1050 ate
NN `., (City Treasurer)
7.0 WATER SERVIFiepapplant is �c) rement of a �ttached water service plan and [
j
has agreed to pay for all incurred costs.
A fee of $ has been received„
)-CLI - r. dote. ' ^ .
((Water S )
8.0 SEWER SERVICE. The applicant is in agreement with the attached sewer service plan and
has agreed to pay for all incurred costs. (
A fee of $ _ has been received.
(Sewer Supt.) j
8.1 (If sewer is not available) the applicant has satisfied all of the requirements of the
District Health Office and his permit is attached.
... J
Dist. Hea f Officer) date
9.0 COUNCIL APPROVAL. (if required) The council took action on this application at its regular
meeting held on / with the following result: APPROVED ❑
DISAPPROVED ❑
date
Mayor, City of Port Townsend,
10.0 CITY ENGINEERING or BUILDING DEPT. The applicant has satisfied the requirements of
the Codes of this CITY and the requirements of this application, nd is hereby issued PERMIT
No 5^1.0
of
House No. 819 Hancock St. (Build. Official)
White Copy,City Clerk;Goldenrod Copy,7 easurer;Blue Copy,waisr Dept.;
Pink Copy,Sewer Dept.;Yellow Copy, Building Dept.;Ledger Copy,Permit.
u