HomeMy WebLinkAboutBLD1999-00243 ¢s0 � Jefferson County Permit Colter Department of Community Development
, , 621 Sheridan Street,Port Townsend WA 98368(3601379-4450
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Project Description:
9 Digit Parcel Identification Number(from your tax statement): jO _ rs q®j 6. z
Site Address e, g 901 3
911#: a y D El K -1 r Road Name: E 1 i< 1, Zip Code: t$3 c
Legal Description
Subdivision Name: a'' CA-KA- ,,.. ` _ t Block: Lot(s): & ( 39
Section: 35 Township: 30 Nork Range: , W
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Parcel Size (acres or square footage): 2.:6 .�r
Property Owner: 'R L + jot., YY1 A v Phone: l
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Mailing Address: E 1 `/ - lr 1 N(vol�-} �/� �S 3ot0
Applicant/Occupant: !.J Phone:
(if different from owner)
Mailing Address:
Authorized Rep: \ Phone:
Mailing Address:
General Contractor:
Or Manufactured Home Installer: ! Phone:
Mailing Address:
Contractor's State License Number: Expiration Date:
Septic Designer:
y Phone:
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Mailing Address:
Architect:/Engineer: Phone:
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Mailing Address: .�t t &\37 5
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Loan Lender/General Phone:
Contractor's Bond Holder: $ o Cam ,_
Mailing Address:
FOR OPPIC .USA'ONLY
Flre D strict Pbnning Axea School'District: Zone:
4/98 H:\home\pincntr\fours\universal plot plan