HomeMy WebLinkAboutBLD1999-00270 (..„--,-.. ,----.)
Jefferson County Permit Center * Department of Community Development
> ;,� 621 Sheridan Street,Port Townsend WA 08368(360]379-4450
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Project Description:
SALE b m 1 Ly Fs11* Jc(
9 Digit Parcel Identification Number(from your tax statement): C 0 a 36v 3009
Site Address `�
911#: AS-4 Sfatc Road Name: }i.wy 1 0I Zip Code: c3($"
Legal Description
Subdivision Name: Block: Lot(s):
Section: Township: Range:
Parcel Size (acres or square footage):
Property Owner: /� Phone:
D�E2T 4I.,�,�n�r\ L. �of3Son) 360 -38-5- 31444
Mailing Address: -71 , LOA- ci 83G S"
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Applicant/Occupant: Phone:
(if different from owner)
Mailing Address:
Authorized Rep: Phone:
Mailing Address: 60 ill Pr((en oS ��s.
General Contractor: Skt(rt‘. £ -� Dia. �3
Or Manufactured Home Installer: IOn) vn-\ S Phon 70 O
Mailing Address:
Contractor's State License m • Expiration Date:
Septic Designer: C?l1 STIG Phone:
Mailing Address:
Architect:/Engineer: m� Phone:
Mailing Address:
Loan Lender/General Phone:
Contractor's Bond Holder: W ATl+EtZ-TIGHT S1+ELL / CASH.
Mailing Address:
FOR OPNCE USE ONLY
Fire District: ' Planning.Area S' School District: S k Zone:
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