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HomeMy WebLinkAboutBLD1999-00147 - CANCELLED f4 ¢�o °°� Jefferson County Permit Center * Department of Community Development -ip621 Sheridan Street,Port Townsend WA 98368(360)379 4450 UovrtA©? co 0 Ia t c r4e iollo€44:41 ilaid4 a4 eomx " e0 ad jzoadile: Project Description: 9 Digit Parcel Identification Number(from your tax statement): t Site Address 911#: / , \ Road Name: 0/40„.. i?L2 Zip Code: 9 r ;. Legal Description Subdivision Name: ,3A 5,4 Block: Lot(s): 5 r' Section: 4 Township: g Range: ( // A� Parcel Size (acres or square footage): Property Owner: r�J Phone t Mailing Address: Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: ,-�� Or Manufactured Home Installer: ') °; f ( Phone: Mailing Address: "'"-f Contractor's State License Number: Expiration Date: Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: .................... .. FOR OI NCE USE`ONLY Fire District: Planning Area School District:--z,3 Zone:. 4/98 H:\home\pincntr\fours\universal plot plan C C -e-L ...„,-- __________,......,.. A. s I i_ Cl‘ i