1993, 04-16 Permit App: 93002565 ReroofINFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS : S , 4-15 1 5
CITY/STATE/ZIP: `j pc «L-\ e l -d A 9 9 2 0 4i
SUBDIVISION: Inc. k / Mu ren �S t + 1V v p r (c�
tin ( 11 i '0� 3 7 sp k ke c �1 "may , cel A
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: 0A,y, r \ v S (� r -e UJ e- PHONE: - -
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT: 0 CZ' U 0/1 VO. E Te �^ S
SETBACKS: - FRONT:
PERMIT USE: � j^ G D
PHONE: ,� c �{ - 5'L - C} 2 9 7
LEFT: RIGHT: REAR:
.37SQ . D �>
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: I T S E N N\I 1Z 3 k 1,0
CONTRACTOR: L.J 13 e /V I ej & r S = r� c_ PHONE: S o - c124, - Z- 9 7
MAILING ADDRESS: 5 Li Z 1 P o A. sp r A ?
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:
' 1/88