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1988, 06-28 Permit App: 88001765 Repair Water Damage
.. s INFORMATION WORKSHEET PARCEL NUMBER: 7--4-5(41 2l STREET ADDRESS: / ?/ CITY/STATE/ZIP: az.0 ciQ 1� , SUBDIVISION: FOT4 FOILC) C(? Trz_A--c1 BLOCK: LOT: ZONE: Q? Sae DISTRICT: LOT AREA: F/A: WIDTH: 1S- DEPTH:2roR/W: # OF BUILDINGS: # OFFJ DWELLINGS: WATER DISTRICT: OWNER: G 1q /�!Q Y/ '�iayelA ` PHONE: 07 - 9v? - l(56 MAILING ADDRESS: /3 / (q v CITY/STATE/ZIP: acr �� ! e )� , / 9Q 7 CONTACT: PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: /4 ��„�S t //s 2r G c ( PHONE: 4`!' - 3 29' - 3 MAILING ADDRESS: 6-52/c> ARCHITECT/ENGINEER: mor, e_ PHONE: - - MAILING ADDRESS: _ Di1/7)/q 6E- NEW: REMODEL:/1 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: