HomeMy WebLinkAboutBLD1999-00251 Aso Jefferson Cou
nty unty Permit Center * Department of Community Development
c 621 Sheridan Street,Port Townsend WA 88368[360)379-4450
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Project Description:
(1 E f nl is RE5/7DE, d-C
9 Digit Parcel Identification Number (from your tax statement): Cf2 j 0 61,2 0-4./0
Site Address 911#: 105 Road Name:-FIN 151 +cM L. Zip Code: -Q l S 35 g
Legal Description
Subdivision Name: t-12 t E 1J-DS S i-fOIR T" -PLAT Block: Lot(s): j
Section: Township: 2 W Range: ( L w M
Parcel Size (acres or square footage): 5, t ( -4•3 ACleEs A - �bl CAT1 a i'
Property Owner: N,N C`/ B • /_l Ea/ Philg D 3 G{ 3 8`i Z-
Mailing Addres s: 1°1 if m A s 5T _tea T TD wni s ery b, lev74 q 8 3 Cp S
Applicant/Occupant: Phone:
(if different from owner)
Mailing Address:
Authorized Rep: Phone:
Mailing Address:
General Contractor: 31 t,t, (w tN - A .# --7't sE 73 I Co N 5r-
Or Manufactured Home Installer: Phone: 3(g0 • zj 7- • R 34-4
Mailing Address: —p a , 3_ " r,t — /1
JC MMO_ uA (A) Q O 2 5�
Contractor's State License Number:- ,Ale
I� j K� J Expirati n Date:
29 zvo
Septic Designer: Phon
3&q) • 37-q • `IC aIt
Mailing Addressl
7?0,i3x /37_5_ - 770/er l-fA_Dioc_K, gs339
Architect:/Engineer: rp Phone: .:
Mailing Address: i
0,1
Loan Lender/General Phone:
Contractor's Bond Holder: a 6 kin, S •
Mailing Address:
FOR OPPICI USE ONLY;
Fire District: ? Planning Area: School District: 01. Zone:
4/98 H:\home\pincntr\forms\universal plot plan