HomeMy WebLinkAboutBLD1999-00301 o Jefferson County Permit Center * Department of Community Development
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az '). 621 Sheridan Street,Port Townsend WA 883681360]379-4450
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Project Description: (..- 4...i0C)
9 Digit Parcel Identification Number(from your tax statement):
Site Address .�
911#: Road Name: r`sr fit"slim Zip Code: 7 r(7,5
Legal Description
Subdivision Name: Block: Lot(s):
Section: g. Township: 7 Range: /
Parcel Size (acres or square footage):
Property Owner: -Cilf° r 4 e® e e, Phone: , S 5 77
Mailing Address: /F � elle -9A eie co ,c/ Y7
Applicant/Occupant: Phone:
(if different from owner) &'/111 ye Y - � 5 c/refl. 7 7 f
Mailing Add
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Authorized Rep: Phone:
w ? 7,' 93
Mailing Address:
General Contractor:
Or Manufactured Home Installer: /�? k'7 C . Phone:
Mailing Address:
Contractor's State License Number: 1 Expiration Date:
Septic Designer: . ,"
� Phone:
Mailing Address:
Architect:/En neer: Phone:
Mailing Address: / J t f k
Loan Lender/General Phone:
Contractor's Bond Holder: --f4 '
Mailing Address:
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;Fire District ... .. Planning urea ' School District ;, .\ Zone: ........ ......... ......... ..
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