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1992, 02-25 Permit App: 92001061 Siding, Soffit, Fascia (Q/ 5167-/eoc)a qa- ! OLA -., UAwAil Dn = 1(vtl . ov **************************************************************************** INFORMATION WORKSHEET * **************************************************************************** * * PARCEL NUMBER: * STREET ADDRESS: 1 j 5001 5-16.i eo e i ti * CITY/STATE/ZIP: .fnk 2 1. SA CriDCIQ * * * SUBDIVISION: * BLOCK: LOT: ZONE: DISTRICT: * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * * # OF BUILDINGS: # OF DWELLINGS: . WATER DISTRICT: * OWNER: 1-'t o e_2y 0 ,,J PHONE: SZF'I -`I - cl 1 OS- * * MAILING ADDRESS: 15 v-11-{ V.--1.p r.Jb(2-"i1� * * CITY/STATE/ZIP: eca \ 1,3 * * CONTACT: _ J r. PHONE: SM -9'' .6 - 46p)(0' 6p)So * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * ---- — — * PERMIT USE: S,-j -- g * * t**************************************************************************** BUILDING INFORMATION * * CONTRACTOR LICENSE NUMBER: (C- Jf'+`) 6C 3y(4, h z, * * CONTRACTOR: Hc u A-; Q Th t25 PHONE: Soo -90.8 - `4.68(=, * * MAILING ADDRESS: JJ 31N, Pr2cian.)t * * ARCHITECT/ENGINEER: PHONE: - - * * MAILING ADDRESS: * */ NEW: REMODEL: V 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: * ***************************************************************************** Lis 1 ,Joao