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1987, 12-18 Permit App: 87004232 Pellet Stove* ` INFURNATICN WCRKSHEET ***************4*-;******t***************************T444444 **4* ****44****** 23)245° * GENERAL INFGRKATICN * * �1 * * PARCEL f.;UMER : L�543 -- 05- 1 4 * * * CITY/STATE/ZIP: % \ C\C\ r * 614Ak * * * BLOCK:__4 ___ LOT: 1 ZCNE:_ _ CISIRICT#:_______ ; * ,, * LOT AREA: WIDTH:DEPTI-: k/1.: , * ,a CF ELCGS: # CF DWELLINGS: * w * OWNER:__ \�-2\ sZ!. FFCNE:----- - * * * MAILING A U O R E S S :_� =`L7. '.._� * * * CITY/STATE/ZIP:___ \`1___\a ). CNA^-\ * * __ _ �y�� � FHCNE -ct rtIA:4- * * SETEACKS - FRCNT LEFT WIGHT REAR T F/A: * i * * PERMIT LSE:--\-�,• l ____-S- e \-- 4*********4**44 44**44*4**4;***y************4-•y* ***4***4***� * ***y 444************ 4*y*****y *** * * * * * * 4 * * * * * * 4 4 Y * * 4 * * * * 4 9 4 * * 4 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Y * * * * * * * * * * * * Y * * * * PLUNEING INFCRMATION * CONTR LIC#: * * CONTRACTCR: PF -CNE: - - * MAILING ACCFESS: * *******4 4*4444 44*444************4*****************?*******************#44***** * M_ C ANIC INFCIONRMA * CON TR�� * MAILING ADCRESS:_\i=57- CONTRACTOR:\�` \S:YItt� * * ELECTRIC:_GAS:___ CIL:___ COAL:_w00D: PF-CNEVi __L -,- 1 SCLAR:___ FEAT FUNP:__ * 4 * 4*44*******44*****44**********************************4*4******44*****444**4**