Loading...
HomeMy WebLinkAboutBLD1999-00796 �� so �� Jefferson County Permit Center * Department of Community Development qs 621 Sheridan Street,Port Townsend WA 88368[3601 370-4450 .i . k a.,..,,_9z1;-"".".6:4;''N'r-cx•-: 10. Uollvergroll Wpot plgoPll© 3Till la ae tollawur, llaxdd e s ease l° 44; -c.' 'c'_C�' 0 Project Description: 114- g-/s If 7-1 C., ''94 ile /1 6 't -c 9 Digit Parcel Identification Number(from your tax statement): Site Address 911#: d i- 2. C Road Name: , -0t `4 , , c_ [Zip Code: Legal Description Subdivision Name: I Block: Section: I Lot(s): I Township: I Range: I. ,. Parcel Size (acres or square footage): ;I c... q ./ c J e 5_ Property Owner: O z®, �' -- C% .5'-Y IPhon, Mailing Address: Applicant/Occupant: (if different from owner) Phone: Mailing Address: Authorized Rep. .4 L.s'/ Mailing Address: jPhone:3 ) (% RS` ' a ,C/f / /;4a1 i ) y /0P eTcEt6� C d. . Cy- e General Contractor: Or Manufactured Home Installer: Mailing Address: Phone: Contractor's State License Number: 1 Expiration Date: Septic Designer: ...,— t Phone: Mailinguiddress: "� F Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Contractor's Bond Holder: ' �' ``°�" ' ",` + �s� / I Phone: Mailing Address: 3i ' ` 3 '- , fe / w,- ,,,.®-1. any, ,✓� FOR 01±/cE USE QAIX I Fire District ; , I Planning Area: `-. Z Sclo�l T.7istnct: Iv{ . 1 ane: 4/98 H:\home\pincntr\forms\universal plot plan