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HomeMy WebLinkAboutBLD1999-00253 Aso c� Jefferson County Permit Center * Department of Community Development �:, 621 Sheridan Street,Port Townsend WA 98368[360]319-4450 ti N 0 l'\7 et b.1f 1 ii;—G '3'*Y Uovr . tO co • Sell eu tiektlicge44cg &i4s ad coma as fumaile; Project Description: // ./� '/:-- y- --,22�'� .% ' ice /� -,J" != .-" 9 Digit Parcel Identification Number from our tax statement): ,5---.1 ',2' -----4, 1 5"Z-— . '`. .11...mmmmni Site Address 7? / 1 - 911#:X 5 Road Name: Zip Code: Legal Description Subdivision Name: Block: Loth: Section: Township: Range: Parcel Size (acres or square footage): . 74 l Property Owner: Phone: -- ---, -- Mailing Address: Applicant/Occupant: '' Phone: (if different from owner) �� Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: 7\-- — Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: Phone: Mailing Address: Archi test:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: .c-i'' Sow,; r,, Mailing Address: FOR C7 rICE USA ONLI ; Fite District:... _ '' 'Manning Arc ; ...._,..... School District t. Zone 4/98 H:\home\pincntr\fours\universal plot plan