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1988, 10-17 Permit App: 88003264 Pellet Stove
aif , oo INFORMATION WORKSHEET CAA a0ENT �U iu2L 3210 PARCEL NUMBER : 12 `J 5 I -Dai `J a 55 i SI - c951 STREET ADDRESS: CITY/STATE/ZIP: .SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA; F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: OWNER: KA \k ? MAILING ADDRESS: 5_ [v2_06 (3oor�- WATER DISTRICT: PHONE: 509_- 922 - Q s•5s CITY/STATE/ZIP: (-3re_en 0, c tr 5 N . °(qoi(-. CONTACT: PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: Re-uU j" cj To 0 `L *******************xx*************.**********************************x***x**xxx 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: