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1988, 10-20 Permit App: 88003325 Rebuild Fireplace
PARCEL NUMBER: INFORMATION WORKSHEET 11111 /1/67 STREET ADDRESS: CITY/STATE/ZIP: SUBDIVISION: 1-IC�I�c-1S BLOCK: ( LOT: ZONE: As DISTRICT: LOT AREA: r q0a) F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: OWNER: # OF DWELLINGS: WATER DISTRICT: p,-70 /e /sc PHONE: MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: TEt— c , (p KIA,SoJ 1Z=/ **********************************.******************************************** CONTRACTOR LICENSE NUMBER: BUILDING INFORMATION e s' — /32 .2 � iron CONTRACTOR: �� S l'c""L' h PHONE : Yid/ - Q MAILING ADDRESS: / i j % - ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: REQUIRED PARKING: X (WIDTH X DEPTH) SQ. FT.: # HANDICAP: SEWER (Y/N): HYDRANT: