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1988, 10-07 Permit App: 88003125 Pelet Stove
INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: J CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT: ZONE: LOT AREA: F/A: WIDTH: DISTRICT: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: �\ �� �«� ���� �Q PHONE: c- o MAILING ADDRESS:-4 CITY/STATS/ZIP: CONTACT i�b � < <,`G, Q 4`�AC�y� Q PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: a *7k'*>k �*�'�'it'111'">tY',**�'**'it*�'****'A'�*�"�'*>;'*#>�.•'k�*"�'>�"�**XXXXXXXXXXXXXX7C 7CX7C 7[aJi 7l �EXiI'�'��iTAX`R�. MECHANICAL INFORMATION CONTRACTOR LIC#: MAILING ELECTRIC: GAS: OIL: _ COAL: WOOD4 SOLAR: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: APPROACH: PRESCRIPTIVE: POINT: C014PONENT: SYSTEMS: