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1987, 08-06 Permit App: 87002502 Finish Basement y , ****************************************************************************** * INFORMATION WORKSHEET * ****************************************************************************** x * PARCEL NUMBER: /654 2- / ' 1 3 x x * STREET ADDRESS: N , I '"t S, i? WO i2 .i4 x * * CITY/STATE/ZIP: cL-YR7LIANIe W c1—t, x * 11 * SUBDIVISION: / Lt K * x * * BLOCK: / LOT: 1.14 ZONE: DISTRICT: * x * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * * * * # OF BUILDINGS: # OF DWELLINGS: t WATER DISTRICT: VV * * OWNER: pmvWeCiA/V)51(dAl PHONE: - &-% 0'' * * MAILING ADDRESS: 0, el l 1 1miut 1 t * * CITY/STATE/ZIP: �o��06.- X19062 * i . x * CONTACT:17 V i • , L)v V144- PHONE: -114t>- * * SETBACKS: - FRONT: '_ LEFT: '_ RIGHT: REAR: *. PERMIT. USE: l Gv iAM Cl . 113:evzlIkkij et„,,,---=.,,) * *****************************************xxxx********************************* * BUILDING INFORMATION * * * * CONTRACTOR LICENSE NUMBER: * * * CONTRACTOR: PHONE: - - * * * * MAILING ADDRESS: * * * * 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: t HANDICAP: SEWER (Y/N) : HYDRANT: * ******************************xxx*********************xxxxx***********xxx*****