Loading...
1989, 05-16 Permit App: 89001320 FurnacePARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: /I/ // / IC 4'' CITY/STATE/ZIP: p ,y- L U24 s --/ 99,2 / SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: # OF BUILDINGS: DEPTH: R/W: # OF DWELLINGS: WATER DISTRICT: OWNER: L d /`i j ,--10 IL A A/ _Z) PHONE: .,O4-.544- 706f MAILING ADDRESS: /Q 5 ' _ (y D 4 -7L ? / L L co jo CITY/STATE/ZIP: k/ L 1 �c W /1571--/ 9 I 5^ CONTACT: PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: **************************************************************************** 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: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: