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1989, 05-01 Permit App: 89001088 Wood Stove
INFORMATION WORKSHEET PARCEL' NUMBER: o 7iJ - x90 3 STREET ADDRESS: 6/-2 3 ,/4'-/j€(J/EGL% CITY/STATE/ZIP: SPC//VE (Am'. 9902/ Z SUBDIVISION: - C qi/&rb Ave T --a, BLOCK: LOT: ZONE: AS DISTRICT: LOT AREA: F/A: WIDTH: 9j DEPTH: SC7 R/W: 11// # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:,O/2cookOid}UE OWNER: fsxmL- of ,QFai.v4 Acharc+/sov(, PHONE: SU9 - 9.26 - /7G-`9 MAILING ADDRESS: Erb/2 S F/a//PdJ/E/L/ CITY/STATE/ZIP: 5'S24 AJE WA' CONTACT: Ga, y ar /xJ-,�,VG'40/41-0/ PHONE: co? - 9-2(- /749 SETBACKS: = FRONT: LEFT: RIGHT: REAR: PERMIT USE: ***AA*A**A**AAA**AAAA***AAs***A***********A**As**********ss****As*********** 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: S (WIDTH S DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SEWER (Y/N):t HYDRANT: