HomeMy WebLinkAboutBLD1999-00159 co co Jefferson County Permit Center * Department of Conrruinity Development
.,� 621 Sheridan Street,Port Townsend WA 88368(3601379-4450
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Project Description:
AL re,e,,q l',oN //fern ode 7
19 Digit Parcel Identification Number(from your tax statement):
00127.S02C
Site Address
911#: /3.2 ////q/f i/yi C.:loR 11- Road Name: Zip Code: f/J'6'J
Legal Description o
Subdivision Name: (�'JQo a//•9/.c' M'/l:f. Block: I Lot(s): _3'(
Section: g
,Z 9 1 Township: 3 a I Range: 0/60
Parcel Size (acres or square footage): s- fic,fes
Property Owner: Y/�204 f Phone:
/
Mailing Address: f� 6j Y 7 Q- ro f'S
/32 /7'/�X l/y,ti C®cide tj set— 6J4 rilCcP
Applicant/Occupant: Phone:
(if different from owner)
Mailing Address:
Authorized Rep: I Phone:
Mailing Address:
General Contractor:
Or Manufactured Home Installer: KS " e//e cf 5-4,e/f.j,,,. Phone: 31>S- 7/5C
Mailing Address: 2 co /,4,74
Contractor's State License Number: l r 4.G e-S is® `le I Expiration Date: s
Septic Designer: Phone:
Mailing Address:
Architect:/Engineer: Phone:
Mailing Address:
Loan Lender/General Phone:
Contractor's Bond Holder:
Mailing Address:
FOR ON./CE.USE ONLY
IFire District: PlanningArea:
4/98 I ; .. .: .....:� School District: �� � ' I Zone:
/ Fit plot plan