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1988, 11-29 Permit App: 88003830 Repair Fire Damage r 7 INFORMATION WORKSHEET PARCEL NUMBER: , STREET ADDRESS: )) / 9/ LI ; S -7-11- 1 /4? CITY/STATE/ZIP: S P ox A ,c) L ,t)4 c' 97 e 6 \\\ SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: /1./E'R: Ctli9-$. A. G/Z 1 G lei if T/ 5 PHONE: - gzeg - /6-/e MAILING ADDRESS: /„ lQ y 11 . 774 CITY/STATE/ZIP: S pox../3 x.L- w /4 9 9 z d CONTACT: ,S'4- /( E' p e A/;,)gr PHONE: - cis-7 — 4, 2,s- \ SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: / ,KC DA-yr/of-6'c /7ESrri2/f 774) A) **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: A/0/e Till j_ /3 . D Z CONTRACTOR: 4 /Z7f4-tc/& r F2ic) ffec- PHONE: - c/JTr - ©_s-z,6 MAILING ADDRESS: 4, S`// f L,,eg/ 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: # HANDICAP: SEWER (Y/N) : HYDRANT: