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1990, 05-03 Permit App: 90001872 Siding, Soffit, Fascia**************************************************************************** INFORMATION WORKSHEET * **************************************************************************** x * * * * * x * * * * * * x * x * x x * * * x **********************************************************************x****** PARCEL NUMBER: STREET ADDRESS: CITY/STATE/ZIP: SUBDIVISION: Jif , 1/03 /7ljzrn o r i/2 L L.o, WA' 990e 7 BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: , WATER DISTRICT: OWNER: SC -0# C. Van 1te24 MAILING ADDRESS: �//v s 1/63 Mont- CITY/STATE/ZIP: zzrnt2 - CITY/STATE/ZIP: V L LCULa(i, LU/`- 9gv3 PHONE: 509 -92U - 763/ .CONTACT: PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: _gbd S( dJ 9 £/ K DGCLL/ BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: IW vii V6(-3 ii'/om CONTRACTOR: Y V C(J&1 MAILING ADDRESS: i3(0 ARCHITECT/ENGINEER: MAILING ADDRESS: PHONE: 5 c, -q g 44E4 c24( j t3/4 9qa/� * * * * * * * * X (WIDTH X DEPTH) SQ. FT.: * PHONE: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING DIMENSIONS: BUILDING HGT: STORIES: REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: * **********************************************************A****************** Vokcta fi cr - /l, 56-6 a' awuiF-ate-'/39sa