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1993, 06-29 Permit App: 93005309 Siding, Soffit, Fascia450-1 a .73;3c), •.. ... 3r c.36"se: Jc'61 fit*******'******************************************************************* INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: 96t% CITY/STATE/ZIP: S?e\AwoJe. WA �gZIZ SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: •DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: -WATER DISTRICT: * * OWNER: (\ s r: a f1/ = kl `5- PHONE: - R-Z.l - Cs y °i 0 * * MAILING ADDRESS: g 0 k. ea j.• Fa:rv4-La * * CITY/STATE/ZIP: Senke-a VVW °182 1- * CONTACT: PHONE: - - * * SETBACKS: - FRONT LEFT: RIGHT: REAR: * * PERMIT USE: S � ae,'...S J S0cC:k. (r'as ci A * * BUILDING INFORMATION * * CONTRACTOR LICENSE NUMBER: MLVA1/41%c34(cMe * CONTRACTOR: M4 VA.( %roc. ,PHONE: -St€) -4(,S(o * * MAILING ADDRESS: #0, 2.18{- - �rrjCLJ- �wr S > 9clLC2 * J ARCHITECT/ENGINEER: PHONE: - - * * * MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: -# HANDICAP: SEWER (Y/N): HYDRANT: * * *