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HomeMy WebLinkAboutBLD1999-00244 goo o Jefferson County Permit Center * Department of Community Development k� • ., 621 Sheridan Street Port Townsend WA 98368(360)379-4450 Uvr o ©t Gl� �u tee re iu cg &vela 44 eomgetelet as foaai&e: Project Description: R v 9--- VELD/9 v Ivy k siC�� t � 9 Digit Parcel Identification Number(from your tax statement): C1 0 i o g j 00 Site Address 911#: 4-4-7 2_ Road Name: S Zip Code: CI S E6 Legal Description Subdivision Name: Block: Lot(s): 2, Section: Township: 9' N Range: I Parcel Size (acres or square footage): ' f , Phone: Property Owner: lit t_pn Adz 4-25`- '' O.?' Mailing Address: 23' 30 v / LC.s v k r Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: C 'C-,5 N 1nizi i 1'1 Vim` i-Lc_ Or Manufactured Home Installer: Phone: 36)O 04 Mailing Address: Contractor's State License Number: coL D -/ jo(4)-2 3 u j Expiration Date:05 /0,/ cc Septic Designer: Phone: Au 1 is — .S P e- S CSC — — r7/ Mailing Address: /� (301( /2-2/ r9 f3 L c) 1 ii) $ S i Architect:/Engineer: 0,At Fes` � �V Lii_cey(-� } Phone: .2 5 6,, 9 Mailing Address: /r j. "s p& 1 r rA K 5- Loan Lender/General Phone: Contractor's Bond Holder: I\S" �O r\�� ���3) -t � Jo Mailing Address: `nf �� /3,5 `�6��� �`l ( t n Ip S�� � Ccc-vltLrsti Vl�7T TOR.OFk ICE USE ONI FireDistrict PlanningAxea School District: itA Zone 4/98 II:\home\pincntr\forms\universal plot plan