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1992, 10-15 Permit App: 92008943 Siding, Soffit, Fascia T cO\ V7 UA< 0A'lbn — Co D-4(.) 0 ************************************0*************************************** INFORMATION WORKSHEET * ************************************************************fir*************** PARCEL NUMBER: .C1/1512D , 1/0 1 ,,u• . nu add 41 I`"o I STREET ADDRESS: I 4 1 a 3 Ct)J�Y * CITY/STATE/ZIP: ` i>�o1�An� �A a\(o * * * SUBDIVISION: * BLOCK: LOT: ZONE: DISTRICT: * * LOT AREA: F/A: WIDTH: DEPTH:_ R/W: * * * OF BUILDINGS: # OF DWELLINGS: , WATER DISTRICT: * ,, n * 11 OWNER: "-t"`zn 2,.t C', , �,>F'S PHONE: - - * * MAILING ADDRESS: 1 1 a3 (00--,_4 * * CITY/STATE/ZIP: S PvAr ,-, WA 9.1 DA(v * * CONTACT: S i� z_ PHONE: SOS -9?...! - 4coe(� * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * H PERMIT USE: S:o, -.c, I S G * E * 1 **************************************************************************** BUILDING INFORMATION * * CONTRACTOR LICENSE NUMBER: `t--(c.-JAY €7,c 3,to `[ * CONTRACTOR: "t"l,G J A (e43il-1`-k25 PHONE: Sb -`'1 L`L3 - 4to a * * MAILING ADDRESS: 0 ata(e Ate- onn0_, A * * 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: I HANDICAP: SEWER (Y/N) : HYDRANT: t***************************************************************************