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1987, 06-05 Permit App: 87001647 Reroof****************************************************************************** * • INFORMATION WORKSHEET * ****************************************************************************** * i 7 * * PARCEL NUMBER: /..25-g/ - CSO * r * STREET ADDRESS: * CITY/STATE/ZIP: * SUBDIVISION: Q�e(L41D 4v * BLOCK: LOT: ZONE: 4 _ DISTRICT: * LOT AREA: /MOO F/A: WIDTH: DEPTH: R/W: * * # OF BUILDINGS: # OF DWELLINGS: * OWNER:s,C.`,�� -ry. * * MAILING ADDRESS: * * CITY/STATE/ZIP: * * CONTACT: * WATER DISTRICT: PHONE: PHONE: * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * * PERMIT USE: C -= * * * ********************************************************* ******************** * BUILDING INFORMATION ` IS' * CONTRACTOR LICENSE NUMBER: # - j \CL. 1\ 1 -IA * * * CONTRACTOR: C':S C- : Zr cu C t PHONE: �L - (- ~=' -t- -- * * i * * MAILING ADDRESS: \6, 2 Z 1W.V1 * * * 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: * ******************************************************************************