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HomeMy WebLinkAboutBLD1999-00663 Jefferson CountyPermit Center, 621 S R hendan St., Port Townsend WA 98368 UNIVERSAL PLOT PLAN Fill in the following information as completely as possible. Project Description: F -(24) nor 2o Ec Et 9 Digit Parcel Identification Number (from your tax statement) Lg.(r'-- 4°O L(�(4 9 14 Site Address:911# & Road Name O' M pi C LcWL, Zip Code -Q`z caps , Legal Description: • Subdivision Name R. I.b LA.3 --* ( Area Lot(s) Section ` Township Z j North, Range t E._ WM Parcel Size (acres or square footage) Property Owner Z.-Y 4 V _Rjl.. t cA c-30,--RfDL=FAZ Phone 451- LL11 Mailing Address 1 3 &61d Ft Lane- 'PA- . U,Lat.o W (a343,5 Applicant/Occupant IA-VY,E. Phone (if different) w Mailing Address Authorized Rep ' 1r-V h(iunQ� �� Phone (p�-7Z�06 r Mailing Address F. 0. Bd x. g l GL,`566 J l,L) a. C3t --?Li General Contractor —Ira 1r k\WVtC -7' y V i Phone(t-1.-1000 ome Ins ne Mailing Address P.O . �x fl r • u_L l c J Lcx, © - 7C1 Contractor's State License Number T y k(,,l V t� 13 �'-1 Expiration Date �Q-O 0 Septic Designer '1 i A Phone Mailing Address It �a L� Architect Phon‘q� :____ ZO Mailing Address P-0 . -- O -1 L L SS )0 Loan Lender/General I(. 'v A J ._ I vZS L G( ,u. chO Jci-Z Z Sol d C Contractor's Bond Holder. Mailing Address -3 - 5 - 0_4 t 1c%Liz, cv • c.., , c . czl -2Ll2L--f FOR OFFICE USE ONLY Fire District Planning District School District Zone s