HomeMy WebLinkAboutBLD1999-00826 I
°tom Jefferson County Permit Center * Department of Community Development
�. 621 Sheridan Street, Port Townsend WA 883 G8[3GDl 318 4450
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Project Description:
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9 Digit Parcel Identification Number(from your tax statement): c
Site Address lbw )z
911#: /4 1-1- Road Name: Zip Code:
Legal Description
Subdivision Name: k--V101-' ' - 1-2 V-pl T�-'k�-'15 Block: Lot(s): 1 1-
Section: Township: Range:
Parcel Size (acres or square footage): 4 e7 tpv G9 Sc _
Property Owner: IVA hone:
Mailing Address:
Applicant/Occupant: I Phone:
(if different from owner)
Mailing Address:
Authorized Rep: e--at Y,-43'96 ��ti Phone:
Mailing Address:
General Contractor:
Or Manufactured Home Installer: L 77-`.< CC,pone:
Mailing Address:
Contractor's State License Number: I Expiration Date:
Septic Designer: G �l
Mailing Address: Fc, czo ` � ��
Afeliiteettl ngtr}eei: / TJ6,--RI
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Loan Lender/General Phone:
Contractor's Bond Holder:
Mailing Address:
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'tre District: ; L'lari 111 Area
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