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1988, 01-22 Permit App: 88000118 Pellet Stove
. INFORMATION WORKSHEET PARCEL NUMBER: O 154 1— 6 '/C% STREET ADDRESS: N YC O 7 L/ A✓/67,.c4 / CITY/STATE/ZIP: S 4R, QQ / 6,/ik 9 t 2/ C. SUBDIVISION: j 2PLcuS/C/ IST BLOCK: 4 LOT: 1 ZONE: 51=6.2._ DISTRICT: LOT AREA: /2(000 F/A: WIDTH: DEPTH: R/W: # OF BUILLDINGS: /, # OF DWELLINGS: WATER DISTRICT: OWNER: F4., 4 �< 4/ * PHONE: .i o7 — 9a? — S7,/ MAILING ADDRESS: A/, V6 0 9 CITY/STATE/ZIP: /00.41-4-.i./ ;o.41-4-.r/ 7.2 / C 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: