HomeMy WebLinkAboutBLD1999-00674 Jefferson County Permit tenter * Department of Conmunity Davebpne
490N CQ6- 121 Sheridan Street Port Townsend WA ►; is,': (3801371-41
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STOCK PLAN 5
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Project Description:
New Single Family Residence W/Attached Garage •
9 Digit Parcel Identification Number(from your tax statement):
998-700-092
Site Address
911#: (No Address Yet) Road Name: Outlook Zip Code: 98365
Legal Description
• Subdivision Name: Teal Lake Village Block: Lot(s): 92
Section: 21 Township: 28N Range: l E —
Parcel Size (acres or square footage):
Property Owner: OLYMPIC REAL ESTATE DEV LLC Phone: (360) 437-2101
Mailing Address: 781 Walker Way, Port Ludlow, WA 98365
Applicant/Occupant: Same Phone:
(if different from owner) —
Mailing Address:
Authorized Rep: Jeff Evanger Phone: (360) 437-2101 —
Mailing Address:
781 Walker Way, Port Ludlow, WA 98365
General Contractor.
Or Manufactured Home Installer OLYMPIC REAL ESTATE DEV LLC Phone: (360) 437-2101
Mailing Address:
781 Walker Way, Port Ludlow, WA 98365
Contractor's State License Number: OLYMPREO1OM8 Expiration Date: 6/01/00
[ Septic Designer Phone:
Mailing Address:
Architect:/Engineer:
Phone:
Mailing Address:
Loan Lender/General Phone:
Parker, Smith & Feek 1-800-457-0220
Contractor's Bond Holder:
Mailing Address:
FOR OFFICE USE ONLSF
Fire District: Planning Area: : .. School District • Zone:
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