HomeMy WebLinkAboutBLD1999-00795 � gsozv �u Jefferson County Permit Center Department of Community Development
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621a Sheridan Street Port Townsend WA 88368[3601378-4450 k
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i Project Description:
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9 Digit Parcel Identificati• • Number(from ycur tax statement):
1®133305
Site Address
911#: 100 Road Name:Lavas E r p O
LZN Q Zi. Code: 1`s 36
Legal Description
Subdivision Name:
Section: Block: Lot s :
33 Township: 3 , Range: 1
Parcel Size (acres or square footage): 2
Pro �"_ �
perty Owner: e" e�4 ;kireh Lots Phone:
Mailing Address: 297(0 NI awl
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Applicant/Occupant:
if different from owner • h h Loh. Phone:Mailing Address: Z t(p•7SZ` SIP/
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Authorized Rep: AtIsoii Tesler coo&inlg+16/4 MN t . r
Phone: Qr , +®
Mailing Address: 31 O s7 (p�
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General Contractor: �t 4 ! �o
Or Manufactured Home Installer: S•01i '. yin. CtfU4�r�f
�' ��[ Phone: �'�.Z C�
Mailing Address:
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Tocuasevid w4 . •8348
Contractor's State License Number: tt►►��..
,�/C�. i fiL48a LZ Expiration Date:`.8•®®
Septic Designer:
Phone:
Mailing Address:
Architect:/Engineer:
Phone:
Mailing Address:
Loan Lender/General
Contractor's Bond Holder: Phone:
Mailing Address:
FOR O CE SE ONLY;
Fire District >( .
Planning.tXzea: School Dist rice
�- Zone:
4/98 H:\home\pinentr\forms\universal plot plan
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