HomeMy WebLinkAboutBLD1998-00539 Jefferson County Permit Center, 621 Sheridan St., Port Townsend WA 98368
UNIVERSAL PLOT PLAN
Fill in the following information as completely as possible.
Project Description: ,owl u v / ,l t )
9 Digit Parcel Identification Number (from your tax statement) `7 -7 0 6 o z_ .3 td
Site Address:
91 1# & Road Name / O5` 3 G a 414, jA.A. Zip Code 'Uzi—
Legal Description:
Subdivision Name b IJc 4 ,..r Block . Lot(s)
Section / 0 Township 2 North, Range C WM
Parcel Size (acres or square footage) 5 2 e 0 v S F
Property Owner 0 — / Phone 560 3dT' /1-3(6
Mailing Address ,t f/ 4 J,•4 f c 5 3'4
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Applicant/Occupant Phone
(if different)
Mailing Address
Authorized Rep Phone
Mailing Address
General Contractor if9..r ge - Phone
Manufactured Home Installer Phone
Mailing Address c� A. G. ' st,
Contractor's State License Number Expiration Date
Septic Designer To c_4 Phone 3 e5
Mailing Address /✓ c, gi<u x
Architect AA Phone
Mailing Address
Loan Lender/General ,✓v 'x Phone
Contractor's Bona Holder
Mailing Address s
FOR OFFICE USE ONLY
Fire District l Planning District School District '2.(( Zone