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BLD1999-00625
p ox �o� Jefferson County Pern#t Cantor * Department of Community Deveh in n �� ;.� 821 Sheridan Street,Port Townsend WA 88368 t3601318-4451 a ,;; I o �� � Uvrt ° o P:©t o �O Y STOCK PLAN #4 TLV LOT 80 dI at ek idiemsag 14144 44 awol ely as ftddd le. Project Description: NEW SINGLE FAMILY RESIDENCE WITH ATTACHED GARAGE 9 Digit Parcel Identification Number(from your tax statement): 998-700-080 Site Address (Not Determined Ye:.) 911#: Road NameClear View Place Zip Code: 98365 Legal Description Subdivision Name: Teal Lake Village Block: Lot(s): 80 Section: 21 & 16 Township: 28N Range: lE Parcel Size (acres or square footage): Property Owner. Olympic Real Estate Development, LLC Phone: (360) 437-2101 Mailing Address: 781 Walker Way, Port Ludlow, WA 98365 Applicant/Occupant: Phone: (if different from owner) Same Mailing Address: Authorized Rep: Phone: Jeff Evanger (360) 437-2101 Mailing Address: r 781 Walker Way, Port Ludlow, WA 98365 1 General Contractor: Olympic Real Estate Development, LLC (360) 437-2101 Or Manufactured Home Installer. Phone: Mailing Address: 781 Walker Way, Port Ludlow, WA 98365 Contractor's State License Number. OLYMPREO1OM8 [ Expiration Date: . 1 11 Septic Designer: " Phone: Mailing Address: Architect:/Engineer: I Phone: Mailing Address: Loan Lender/General Phone: Parker, Smith & Feek 800-457-0220 Contractor's Bond Holder: i Mailing Address: FOR OFFICE:USE ONLY. Fire District: Planning Area. School District: ` Zone • 4/98 H:\borne\plccuts\foam\uoivexs$plot Phil