HomeMy WebLinkAboutBLD1998-00404 ;affersr ,ter, 621 Sheridan St., Port Townsend WA 98368
UNIVERSAL PLOT PLAN
Fill in 4hc-following information as completely as possible.
Proje,:t Description: S 1k1, FAw+dy Kestkr)c.
H W/it-Parcel Identification Number (from your tax statement) °I q f Q 0 1 - 101
Stle Address:
31106 Road Name U icob /V'i'I2,,r Road, P.T. WA Zip Code 41g 36g
dddress ttiebi- now — h
Legal Description: eares"C �eti►bo/' is* 37� fa�ob Mtller)
Subdivision Name La( -tin T;bb4ks L_Jc . park -sitrie ,,.e.+#v OBlock 11 Lot(s) 1—J p
Section. 5 Township 30 North, Range 1 W WM
Parcel Size (acres or square footage) 71.,250 sr. 2.701‘27Sft
Property Owner kris Kt,' GieSovl Phone ((U6) ' ?.-$6�.$
Mailing Address ci 6q Robet^'1's R«,G( �g i.,br;a(q .7s1 d kv
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Applicant/Occupant
Phone
(if different)
Mailing Address Sgwttr
Authorized Rep • Phone
Mailing Address Sq,,,,e,,,
General Contractor 0i„'c ./ br,,101e.r — k.^:6 Vol" rr;esov Phone
Manufactured Home Installer Phone
Mailing Address 5a nne.•„
Contractor's State License Number Expiration Date
I . '13ob -eaJISe tic Designer Ner este.+h Tea, - f
M,ke.. Dee�ey Phon(360) 1S42-011
Mailing Address 717 Souit1 Peg6o4 Pon ' An elr„.y, (•VA g836�
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Architect OW o ys ole i — al '(tor. Ro • one an- 3351
Mailing Address 2,7 tt Pat ,tt WW7 Is14r4, l,//A 9$110
(2.061
Loan Lender/General Avh$!'.c.+" M4),cn0... Imo{, 110N,e et.3,1,{��, � �rc+.E kj.r Phone g'f))-565t
Contractor's Bond Holder
Mailing Address P.O. I3ox 1078% &.,6,:l t. .ZshvJ,
FOR OFFICE USE ONLY
Fire District Planning District School District Zone
JALOB &.LER ROAD
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