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1989, 11-16 Permit App: 89004745 ReroofAim PARCEL NUMBER:. INFORMATION WORKSHEET STREET ADDRESS: CITY/STATE/ZIP: SUBDIVISION: 0 BLOCK: - LOT: ZONE: LOT AREA:- P/A: WIDTH: DEPTH: R/W: * OF BUILDINGS: - OWNER: . , # OF DWELLINGS: .WATER PHONE: CITY/STATE/ZIP: CONTACT: 6 SETBACKS: - FRONT: PERMIT USE: LEFT: PHONE: RIGHT: e • — 6 BUILDING INFORMATION , r--- -,:3-22_,I.,i,„--- CONTRACTOR LICENSE NUMBER4 ,.:-,%( -/AA - EEif CONTRACTOR: MAILING ADDRESS: PHONE: - 111(6' - / ARCHITECT/ENGINEER: MAILING ADDRESS: PHONE:, - • ••• REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: ,BUILDING DIMENSIONS: BUILDING HGT: STORIES: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: * HANDICAP: SEWER (Y/N): HYDRANT: