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HomeMy WebLinkAboutBLD1998-00768 ¢50 ° Jefferson County Permit Center * Department of Connunity Development °r , 621 Sheridan Street,Port Townsend WA 08368(360)379-4450 o uh.-verso ot Diu ea t(e eilagledaQ eo.igete4 aQ foaace: Project Description: FMdoEl..� OP S<I6-rik.� 9 Digit Parcel Identification Number(from your tax statement): 130 -b Site Address 911#: Road Name: 31--1\11 :#Z---Pg Zip Code: I5(, g7' Legal Description Subdivision Name: Block: �� Lot(s): Section: I' -- Township: 'DO N Range: 2, \e\/ Parcel Size (acres or square footage): �� -f- - (2�(0 5 5v S Property Owner:#��&Ur ri-, i f (,Y� �st�G �� �CJ� Phone: D Mailing Address: 460 SUNS�� S��o. �D A l��il�� /D Applicant/Occupant: mil/ Phone: (if different from owner) as Mailing Address: Authorized Rep: AM ' �A-rr ��, Il r�G-r Phone: 17Z Mailing Address: /� N 0cze,Ar p©tar- 1-081,15,0 / 63g, General Contractor:Or Manufactured Home Installer: C3VV1•1 5.-R/ I L 2 Z Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: I A 12 f�L 1G,� e Phone: Mailing Address: Architect:/Engineer: Au-n-0A Lem REp: /41Qve Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: A�LIGAL 7L� Mailing Address: s OROFk1GE.USE ON ...... .. ... . ....... <.... .,: Fire Dtsuict .:; arming Area,... ::: .......:. Sch©ol D trlet: ....................................... Zane ..::: 4/98 H:\home\pincntr\forms\universal plot plan