HomeMy WebLinkAboutBLD1998-00522 � ,5aiv ° Jefferson County Permit Center * Department of Community Development
�,� 621 Sheridan Street,Port Townsend WA 08368(360]370-4450
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Project Description:
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19 Digit Parcel Identification Number(from your tax statement):
601` 14)6--tr,C07
Site Address
De-
911#: .. &lit ber�,ti H., it Road °'.j Zip Code:
Legal Description
Subdivision Name: Block: Lot(s):
17
Section: Township: tg:, I Range: i !1 )
Parcel Size (acres or square footage): ®Zag�3a ‘4,,,
Property Owner: hr. tiiN
Phone:
Mailing Address: a2®9
Applicant/Occupant: Phone:
(if different from owner) ES-S'C® ish L+ c I &en 'ri9—(/'19 R Mailing Address:
Lt ' S"3 Abtl Rol NE gel l.5bo c3R3('io
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Autho ed Rep: Pho :
' ,a,vEo2t�.�� .remb� frer- �(s® �1'i 51 9W
Mailing Address:
I°1 15 3 Atoll Rot Al E Pi s bdo 'is-3 h
General Contractor:
Or Manufactured Home Installer: b� C t L 4-f Phone: 55c, 7 7,3_sic)?
Mailing Address:
i y)5'3 ®&ti R4 NE Po1-,Isb® sS3ti®
Contractor's State License Number: Expiration Date:
D SC®tit LA. 083 At R f
111151 Septic Designer: Phone:
Mailing Address:
Architect:/Engineer:
Eyc s-�mAtc Sties. De_s',st jPhone: 4/5-°,-.lSfPe)
Mailing Address:4' n/ 9
'1t3C,R o!n �r11 o ANcs k ! tA,A, 36,2.
Loan Lender/General Phone:
Contractor's Bond Holder: NI ettiel ®-0 I=N ii`aiC14c�.} 3�— t V1 ��y
Mailing Address:
JQIV OPPICf TS1 ONLY
.Fire District .....: Plannin tlrea .. ..g .. . Schaal District: 13 1 Zone.
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4/98 H.\home\ptncntr\forms\universal plot plan