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HomeMy WebLinkAboutBLD1999-00395 r �a Jefferson County Permit Center * Department of nity Development (cow . �,�, 621 Sheridan Street,Port Townsend WA 08368[3601378-4450 r 1N,r, uir : vf:„9.112-*";;cs--`s° .UnOVePS16P:©t p pi iu a de tollootag d(44a a4 car t etelet a4 ftaa le: Project Description: G • 9 Digit Parcel Identification Number(from your tax statement): Site Address 911#: a .4 2)5 Fla 9;1 e F., "Rd , Road Name: Zip Code: 9 3 3 38 Legal Description Subdivision Name: Block: Lot(s): Section: 2 9 Township: 30 N Range: 01 E Parcel Size (acres or square footage): Property Owner: el e o c Q LJ , Phone , (.D) g c. Q.z O S e Mailing Address: ,� `-' .J 328 -ZC9 (JJ�.S-+� ea-H lei 1" �181 Applicant/Occupant: Phone: (if different from owner) (� v C, t,-�e.. �. Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: (`r t�t i i j �" r t c��,: Phone:� l Q - 9 L0 Mailing Address: I 1 0 (.:3 CJ - ad, i p, Architect:/Engineer: ``., Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: TDIVOFI-ICE 1SE ONO .:::. ::.::: ;Fire District:... . :: Planning eaa........ . School r.i.#0 t 4/98 H:\home\pincntr\forms\universal plot plan IG FEET f 7F--F-- T- Flo I i t I I :5r ele- clic I � c'L.4 Tr r�c,yc� sr-�c� �' . � � ::: � �_ ,i� ,ice ..O �/ �. )---� F.. � x � ' VER-I-ICAL BOARD t 8A.-TTEN SIDING ------- I tA) TD T7 I .4 r. I j ell H,9e-l--- - ev rrs9cHtr-p, a GARAGE ) SARN-j-'STOR A-C=� SCALE:rq!�-C-I-PT. AtIPROVED BY: DRAWN BY a%k) DATE: REVISED a-SLANE) DRAWING NUMBER