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1988, 07-29 Permit App: 88002188 Garage
* INFORMATION WORKSHEET ************************************************************************* * * * PARCEL NUMBER: 3 5- " 9/3L * STREET ADDRESS : � - 5 is- r. 6/A %ER ST * CITY/STATE/ZIP: Kph/F u/A, 9902/,2 * SUBDIVISION: * * BLOCK: LOT: ZONE: DISTRICT: * LOT AREA: F/A: WIDTH: %J/ DEPTH: gS R/W: * # OF BUILDINGS: # OF DWELLINGS: * OWNER: it yd /1/ALL PHONE:534 92 722_ * MAILING ADDRESS: * * CITY/STATE/ZIP: * * CONTACT: PHONE: - - * * SETBACKS - FRONT: LEFT: RIGHT: REAR: * * PERMIT USE: * * * * * * * * * * * * * * * * * * * * * * * * * * * * ************************************************************************* * BUILDING INFORMATION * * * * * CONTRACTOR LICENSE NO _ : C nn K C �� 9 * CONTRACTOR: C.0 K Fpos PHONE q.24. —/,5 7.57 * MAILING ADDRESS : E - p 6, Ot,Lia (E V/r-I, _DR eil-is O 2ckfkkeiC * ARCHITECT/ENGINEER: T)Ecf gN �A�%NEE�t/NS A55 . PHONE 421,-D / - Sot • MAILING ADDRESS:.��i% /� pauL ✓ S9�K k', 992ot * NEW: REMODEL: ADDITION: CHANGE OF USE: * * * DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: J' STORIES: * • BUILDING DIMENSIONS: �'� X ' (WIDTH X DEPTH) SQ. FT.'72©' * * *REQUIRED PARKING: # HANDICAP: SEWER: (Y/N):. HYDRANT: ************************************************************************* COOK BROTHERS CONTRACTING Route 2 Box 853 B OTIS ORCHARDS, WA 99027 (509) 924-1557 JOB SHEET NO. ++yyam� CALCULATED BY O� 'a'X�/i'j1/4Cq DATE CHECKED BY DATE SCALE OF 4snic, LO ?9..2/9., FORM 204 Available from( EBSji c Townsend, Mass 01470