HomeMy WebLinkAboutBLD1999-00608 Jefferson County Permit Center, 621 Sheridan St., Port Townsend WA 98368
UNIVERSAL PLOT PLAN
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Project Description: S}- . Fe:12 pra\I, '' 5 Q 1t S
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9 Digit Parcel Identification Number (from your tax statement) C 9.0 400 St 3
Site Address:
91 1# & Road Name T(,(es�'1 L.o p, P[ -j- 1-1,1D1.r Zip Code 0175(0S
Legal Description:
Subdivision Name P► * ( vac (LRA.4qe,-(-- Leo iO)lock Lot(s) �J
Section Township North, Range WM
Parcel Size (acres or square footage)
Property Owner D0.l ,; 5-t4-A'I2 i, L . Phon( O1)C (o(,-073?
Mailing Address (��5'�5''7 G,1 1Ti4 3 W IN S 3(),Pb UT ?W OrkLi
Applicant/Occupant 'Si}i/y(.. Phone
(if different)
Mailing Address
Authorized Rep f,� j
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Mailing Address 'P-U R uusirj 0)
General Contractor -'j l,(�j� I+DMiIC Sr Phone f3(�) A7lT(ij)
Manufactured Home installer Phone
Mailing Address 14 (3' . Po. ax qv Ibutac, A,-21)
Contractor's State License Number Tit, tim. l 3 31'7 Expiration Date /4 - Do
Septic Designer Phone
Mailing Address
Architect PdaWAS Phone 1-1--XXX)
Mailing Address -P,d, E Oi �� l Listoo/ f ��� �-23-0
Loan Lender/General 0 r- ]JJQs [ Phone CiZ-2,
Contractor's Bond Holder (—)U J � .5' G
Mailing Address
C . �► ( 1, LI
FOR OFFICE USE ONLY
Fire District Planning District '2' School District Z-2), Zone