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1989, 03-23 Permit App: 89000575 Furnace, Piping
PARCEL NUMBER: INFORMATION WORKSHEET .STREET ADDRESS: LZ-SCoOa M ISS ION CITY/STATE/ZIP:S Po ka • J3 0 SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: - R/W: # OF BUILDINGS: #'OF DWELLINGS: WATER DISTRICT: OWNER: 3o Ah1,-‘c, CH: -(c-1 C.( I PHONE: - ,09 - dlo3 MAILING ADDRESS: E. -3-S' / S 1 n+U CITY/STATE/ZIP: Skoo I<ai-v- ,UD Q q qa,Z CONTACT: PHONE: SETBACKS: - FRONT:. LEFT: RIGHT: REAR: PERMIT USE: CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: BUILDING INFORMATION PHONE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: