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1989, 04-21 Permit App: 89000971 Wood Stove005, DC VVCOTo Q� INFORMATION WORKSHEET PARCEL NUMBER: C(.-`�l�67v i ,/ 575-9 - 0 2 2; r-v�C L15757, O 2,2 Z STREET ADDRESS: E: /321 G 8c -)`-AJC CITY/STATE/ZIP: , /(4/k) WA, JZ / SUBDIVISION: 6(.7-174-1e/C-5 V/1( -0C y Vick,/ 2 "d BLOCK: 2 LOT: q ZONE: A/ -3,S) DISTRICT: CV LOT AREA: 1215 U 42 F/A: FWIDTH: 1))/ DEPTH: t7Q / R/W: # OF BUILDINGS: 2_ # OF DWELLINGS: 1 WATER DISTRICT: OWNER: CI -OWL -CK. 8 V 1 T S PHONE: MAILING ADDRESS: t. 132 -IC { O o/J C 5z. - 727 - 910s-- CITY/STATE/ZIP: Us CITY/STATE/ZIP: SPO KA A/"E 2 CONTACT: C-11Akii67 EiV n S PHONE: SU / - 722 - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: 1/1/0c -A) SI -01/&- % **************************************************************************** I-01/&- **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: PHONE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: 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: