1994, 11-21 Permit App: 94011623 ReroofAPPLICATION INFORMATION
1 t3
SITE ADDRESSParcel
/115-7) E. Matte,
number
Legal description
Zone -
Inspector district
Property size . -
Right of way width- -
Water district
OWNER
H\arC-OS tUL5Ck
Phone
?ST— 6 z9
Address1
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City, stat
stater Zip e 4.X Cf O/ 7
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APPLICANT L 4'U(�-7 R 270/—f ('
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Address I
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CONTACT An(Q CI
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Phone / 2 I 3 7
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PERMIT USE
Building New Change of use_
Add Remodel
Building height
Stories
Contractor
Dimensions
total square footage
License L^tV 6ka)/Ae\(/f[\
Main floor
Unfinished basement t
Address
Second floor
Finished basement
ArchitecUEngineer
Garage
Decks, etc.
Value Qic-i5
Manufactured Home
Sign
Width'
Length:
Square footage
Height
Year.
Make:
Contractor
Contractor
License
License
Address
Address
City, state, zip
City, state, zip
Relocation
Fire Safety
Previous address
Fire Sprinkler Tent _
_
Paint booth _ Fire Alarm _ Fireworks display _
VALUE
Contractor
Contractor
License
License ..
Address
Address
City, state, zip
City, state, zip
Fuel Storage Tanks
(Circle one) Above -ground Underground
Swimming Pool
Contents
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
License
License
Address
Address
City, state, zip
City, state, zip