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HomeMy WebLinkAboutBLD1999-00533 4��orr c°tf Jefferson County Permit Center * Department of Community Development 621 Sheridan Street, Portp,b13 Townsend WA 98368 (3601 379-4450 " q � a uRvergrj p11,0 ,,& ( t!c iollou urg a:4 4 ad c ft1ete4 a.4,eagle: Project Description: ,/ ,/, t4IWIE To 1)cJ. 24-/ /tl.4L73 titre() Re ?T GoOcG ,J; wit. iljO c' 4,vc, S' 9 Digit Parcel Identification Number(from your tax statement): 8zO4 zoo / Site Address 911#: Z41 .44473 U/mow u 0 Road Name: Zip Code: 96,565 Legal Description Subdivision Name: ` -7- , 27l Block: Lot(s): / Section: Township: Range: Parcel Size (acrs or square footage): ± (00f Ooc Property Owner: Phoned _ Mailing Address: Applicant/Occupant: Phone: (if different from owner) j5 S C-- 63-7/e/ Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: ; RE- -e /AL Phone: e..,C-X1' -63-7iz/ Mailing Address: Contractor's State License Number: Expiration Date: bg(cia. q 0 5•Z5-cc- Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: 'grit j ti qj F i - 3 -- &7 Mailing Address: FOR OPNNCE USE ONLY Fire District: Planning Area: I School District: Zone: 4/98 H:\home\pincntr\forms\universal plot plan