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1990, 06-25 Permit App: 90002933 Propane Tank INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: 1 - -' = /S > 4, 46j CITY/STATE/ZIP: 04 i, fujV SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: - F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: -T�� ) 41� PHONE: c(i3 - �', In- MAILING ADDRESS: ZE--/ S G�c ( tUil61.4 CITY/STATE/ZIP: 5 fn ky4F (AA- CONTACT: //-/ ! )pclO/ L PHONE: ;oq-.i - / C) SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: e I /,-)CG ( -,i ( /P6- -/AAJ/(-- *******************************************, ******************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: (,/°Z'lt/ C'7[' r �±i ? CONTRACTOR: 1/-/ pRU(.��l/� PHONE: ')q -//e3 - / F)0 MAILING ADDRESS: � C►_3 lclux Ce,c `i 5 � a °- i •'Uf ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: I (WIDTH I DEPTH) SQ. FT. : REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT: .41. • , VI az eizi,ff4-7. ‘ AA e PROPANE i.6-10/i (A)x)bi41ii GASOLINE Ja/O * , 1 126 -t-A,i k > _ i6 „ ..... _ i 1 i .. i I e) . \-) 1 Igo tA,,se / ..._ . 1800 North Holmes, P.O. Box 2436, Idaho Falls, Idaho 83403-2436, Telephone (208) 522-1210