HomeMy WebLinkAboutBLD1999-00050 �gsonr ca Jefferson County Permit Center * Department of Community Development
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621 Sheridan Street Port Townsend WA 08368(360]370-4450
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Project Description:
9 Digit Parcel Identification Number(from your tax statement): cp j t a ' tit 00
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Site Address
911#: 50`13.1 Road Name: SA PA IN?cl Zip Code: 9g 675
Legal Description
Subdivision Nafne: Block: Lot(s):
Section: Township: tq l� Range: DI E-
Parcel Size (acres or square footage): 6 Ames
Property Owner: ` 1 ei ApA G Phone:( M) ® . 4.6
Mailing Address: Q *\ I ,, e ,( ^ • 9 2.6 C� `t'
Applicant/Occupant: !U ivPhone:
4046
(if terent from owner) 704
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Mailing Address: 'aetex g69' , + 90
Authorized Rep: !! Phone: if
Mailing Address:
General Contractor:
Or Manufactured Home Installer: Phone:
Mailing Address: 126' Pegr,® 14APto
Contractor's State License Number: ► g 1 s c 6 �7 3 J7 Expiration Date:�.`O.
Septic Designer: in),APhone:
Mailing Address:
Architect:/Engineer: ANDMOs
'a- Phone: 253) 1 . , 7
Mailing Address: 4q 21( j®T v.w. igorwA LA-: a op; 1/
Loan Lende General Phone:
Contractor's Bond Holder:
Mailing Address:
FOR OPP1CF USL-O LY!
Fire District.. .;: r
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