HomeMy WebLinkAboutBLD1999-00269 Aso oo Jefferson County Permit Center Department of Community Development
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621 Sheridan Street.Port Townsend WA 88368(360)370-4450
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Project Description:
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9 Digit Parcel Identification Number(from your tax statement): 90
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Site Address
911#: Road Name: 64 YM P J( _- Zip Code:
Legal Description
Subdivision Name: lea Block: Lot(s): _
Section: g Township: ivc, rfrit Range:
Parcel Size (acres or square footage):
Property Owner. Phone:
Mailing Address:
Applicant/Occupant: Phone:
(if different from owner)
Mailing Address:
Authorized Rep: Phone:
Mailing Address:
General Contractor: r _
Or Manufactured Home Installer://M1,--(-(,;(5/7 / Phone:/uS )7
Mailing Address:/ r fc? 4- ) '
Contractor's State License Number:1/2/43L,/,4 Expiration Date:
Septic Designer: ' Phone:
Mailing Address:
Architect:/Engineer: Kzve Phone.
Mailing Address: )� r
Loan Lender/General Phone:
Contractor's Bond Holder:..7Z-A45-0;,7.4 ��, ®f` s'V®f2/ /42
Mailing Address:
FOR.OFFICE USE ONLY
Fire D strict Area:....:. ..... *Planning..:: `�- School DisrxiCti:
Zone:
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