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HomeMy WebLinkAboutBLD1999-00167 ��t, Jefferson County Permit Center * Diiartment of Community Development ., 021 Sheridan Street.Port Townsend WA 88368[30W 379 4450 1 • c, ot Pk 4, de 06061 s as eame/eey as fedwille: Project Description: 4/671/ AY/9774e/11/ ,46 CXE.1/6- 9 Digit Parcel Identification Number(from your tax statement): ,s 560 ,2, Site Address 911#: 4/ Road Name: �A06-145fEafr.e �1/ Zip Code: 9 36 5— Legal Description 4.07- c.V-1 ,A Subdivision Name: 1y6,e70 1//Ge/€9,�' Block: Lot(s): Section: Township: Range: Parcel Size (acres or square footage): Property Owner: ,Ar6:50 4,ee' S Phone: 5" 7_ /o Mailing Address: ,., /3 Applicant/Occupant: Phone: (if different from owner) 5'4 n4-E Mailing Address: Authorized Rep: z742/6- /9 eis777 Phone: ®d3 7_ c2/ / Mailing Address: LU.OLOW General Contractor: Or Manufactured Home Installer: ��&` 65 / Ce 5 Phone: Mailing Address: Contractor's State License Number: /0"139Expiration Date: ,7 Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: ,eI,e2/' ,e/ / 1&c — "S-7- Mailing Address: • FOR OFFICE......: ONE IFire District.... . Planning Area: School District. Zone: 4/98 H:\home\pincntr\forms\universal plot plan