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1989, 03-28 Permit App: 89000619 Fireplace Remodel
PARCEL NUMBER: STREET ADDRESS: CITY/STATE/ZIP: INFORMATION WORKSHEET SUBDIVISION: BLOCK: LOT AREA: / o 7 LOT: F/A: ZONE: WIDTH: DISTRICT: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: PHONE: 9-6 l- ./7 7 MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: ***xtrrpr*********************************************************************** 4 ' 1 BUILDING INFORMATION ' /a -L-e9$ .. L CONTRACTOR LICENSE NUMBER: E c r V I/ CONTRACTOR: MAILING ADDRESS: 7&6 PHONE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: •• SDEL:'C ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: REQUIRED PARKING: X (WIDTH X DEPTH) SQ. FT.: # HANDICAP: SEWER (Y/N): HYDRANT: P' v, ; r-. (1. 1 i n s;