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1996, 06-28 Permit App: 96004504 Siding, Soffit, Fascia
tsc4 * INFORMATION WORKSHEET * * .PARCEL NUMBER: * STREET ADDRESS: la <6 , /o4Max. LU'e C MaL' * CITY/STATE/ZIP: 511016- ti 144 906, * * SUBDIVISION: * * BLOCK: LOT: ZONE: DISTRICT: * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * * Y OF BUILDINGS: Y OF DWELLINGS: . WATER DISTRICT: * &'btt-k, W a.tfa J ✓ C{6Cc PHONE: - 9af -`i5LIO * OWNER: J * MAILING ADDRESS: `5• /a/Oct /fDt xL utc1 * CITY/STATE/ZIP: Stee, C(JA %4 x 6 * * CONTACT: PHONE: - * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * PERMIT USE: Sj S�G� ell)t GLCt * BUILDING INFORMATION * CONTRACTOR LICENSECNUMBER: �IZy/Y26600%/o �J / • CONTRACTOR: ((hii, 6a.U1h1cLk�/ �IG&)by Oh44. u)5 PHONE: �oCl - ` 5 -5/L// • MAILING ADDRESS: E.07217/ £cCLL C) #7(/ S%cIt `c /4042/ * ARCHITECT/ENGINEER: * * MAILING ADDRESS: * * NEW: REMODEL: X ADDITION: CHANGE OF USE: * * DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: PHONE: - - * * BUILDING DIMENSIONS: * X (WIDTH X DEPTH) SQ. FT.: * REQUIRED PARKING: I HANDICAP: SEWER (Y/N): HYD I/tLtcca fun 15000 °" 44.nc f Fee /025a8