Loading...
1990, 03-21 Permit App: 90000993 Siding, Soffit, Fascia • , .6. **************************************************************************** INFORMATION WORKSHEET * **************************************************************************** * * PARCEL NUMBER: * STREET ADDRESS: j• 4// ( ' __, * * CITY/STATE/ZIP: 5/0-0-4a ,� cd A q9)/(7 * * * SUBDIVISION * BLOCK: LOT: ZONE: DISTRICT: * * • LOT AREA: F/A:_ WIDTH: DEPTH: R/W: * # OF BUILDINGS: # OF DWELLINGS: . WATER DISTRICT: * OWNER: da.4.6 Id I- ,9Ccrt/—) PHONE: -'�-69 - I-)- -50gel * * MAILING ADDRESS: „c , 1-/// (.e * CITY/STATE/ZIP: % '? /+-GOg67, .,)/6, * CONTACT: PHONE: - - * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * * PERMIT USE: Z/LL/ /GL- .,7 / 3.)(y_c Q' CLCD ** k**************************************************************************** BUILDING INFORMATION * CONTRACTOR LICENSE NUMBER: /7[C LJ C3,4-'m 6 * CONTRACTOR: / o !( (}/LL/ /6-014-1-C PHONE: �'1 - c).- �n g4 * * MAILING ADDRESS: Al , /).6 ./4-7/6797(-e - x, CJA qa9 J,2---' * * 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: * ***************************************************************************** t�&teLa fion - $-5- 6-22-' /�e-crn,c; /-te - 4 g..�SCS