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1987, 11-05 Permit App: 87003803 RV Cover****************************************1*** ******** ******:***x******** * INFORMATION WORKSHEET * ************************************************************************* * * * '/ * * PARCEL NUMBER: 615564 - 2/6 /1 * * / * * STREET ADDRESS: A/ - /7 / 9 /V1 C Kct 1/Fd * * * * CITY/STATE/ZIP: (ff KNAQecs C///i 99.2/ L, * * SUBDIVISION: SIMPSOC t s r * * �/ * * BLOCK:. Z LOT: 4 ZONE: ,` DISTRICT: * * * LOT AREA: F/A:_ WIDTH: 1 lc DEPTH: �3/� R/W: 5O * * * It OF BUILDINGS: # OF DWELLINGS: * * OWNER: SCkr/1/1 ag 0 PHONE:9a4 -40 -� * * d * * MAILING ADDRESS: * * * * CITY/STATE/ZIP: * * * * CONTACT: -PHONE: - * * SETBACKS - FRONT:&$ LEFT: g RIGHT:BO REAR: * PERMIT USE: TN C(>aIF%L * * * * BUILDING INFORMATION * * CONTRACTOR LICENSE NO _ : COOK "Fc * * * CONTRACTOR:(, , K Krvoc STCL $l s. PHONE: J2${-'/5-51 * * MAILING ADDRESS: AE -c,,04,010 L1+i(EV, DR, * • ARCHITECT/ENGINEER: 4Jo[rn, -,p jI2SOr/R77S PHONE: Sl67- - 7D / nn * MAILING ADDRESS: A/-/ %906 //Mr Spe/C ji?. (td4ec7T 5 e/r tIL * * NEW: t- REMODEL: ADDITION: CHANGE OF USE: * * * * DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: /2 STORIES: / * * BUILDING DIMENSIONS: /a' X 34, (WIDTH X DEPTH) SQ. FT. h4�� * * * *REGUIRED PARKING: HANDICAP: SEWER:(Y/N):. HYDRANT: 44- 5D COOK BROTHERS CONTRACTING Route 2 Box 853 B OTIS ORCHARDS, WA 99027 _ (509) 924-1557 • JOB- T9r k MC AlafttO /i 251 n/ SHEET NO /Y-/ /Y -% (�i 7/9 , h n &era/anew.% CALCULATED BY /e,c/Pim,RIA/ CHECKED BY DATE DATE SCALE orif3/1 ..'.Sl'filf ion/ _/_._Add; A.cCo *J/ ..:.To, ..PL-67F�E.CoerJ -d _ i rv._.:V°LW 4 ,/4: Dec ()Lotss figs :� iN stock aebiffel FORM 204 Avadable ram The HS/INc rownsena.Mau 01410