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1993, 06-18 Permit App: 93004805 Siding
t Vak : 13Z10 %\ot ice n st.Le INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: -\S (9 VS60-./C CITY/STATE/ZIP: cpot< * c WA 9°0_6 to SUBDIVISION: 57/W" 060 L/►"P BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: :DEPTH: R/W: * OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: A,-.dirci > -krOrPHONE: - O\ -z7- O$5'L MAILING ADDRESS: \1S11 t bp.Jt CITY/STATE/ZIP: So LJ'A CONTACT:- PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: 5;ac"Ja J. c1Qi LO �o BUILDING INFORMATION * * CONTRACTOR LICENSE NUMBER: ‘N'Nc VAL-f % C u toM e * * CONTRACTOR: C`r• C VIAL" % UOS. PHONE: - Ol2S - I%,Po * MAILING ADDRESS: N - 2\o&' VA• r•Ci--1-e-- J3. a, Li k CI°\Zl Z * * ARCHITECT/ENGINEER: PHONE: - - * * MAILING ADDRESS: * * NEW: REMODEL: ADDITION: CHANGE OF USE: * * DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: * * BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: * * REQUIRED PARKING: -# HANDICAP: SEWER (Y/N): HYDRANT: *