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1988, 12-15 Permit App: 88004031 Mechanical Fixtures
PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: 417/3 2..o416- RoA2D, CITY/STATE/ZIP: (92/c)F /92/=5 �A45/.//4�G,To) 990/x, SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: OF BUILDINGS: 1 OF DWELLINGS: WATER DISTRICT: OWNER: 7,74til/D PHONE: ,5o9 - 9a2f - SP'S"/ MAILING ADDRESS: 4'1'7/1 L,or1/6 CITY/STATE/ZIP: �3a�=/.=7/Y/ R S, j/, -5/4144W".7.412 CONTACT: A./, iJo ,q. ��0,.�40. PHONE: y )9 - ` A.i - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: *******'**'**************'**********'***********'**'******'******'*'******************* BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: DAti/0 fi 602o07o PHONE: 5'099 - 91aL - MAILING ADDRESS: nJ '7/7 Lpkk - Q ifc.R2 ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: REQUIRED PARKING: X (WIDTH X DEPTH) SQ. FT.: HANDICAP: SEWER (Y/N): HYDRANT: Revised 1/88