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1987, 08-11 Permit App: 87002458 Siding
***a***** ******** *** *?k*********** ******** *********************A***ftrk .�.. INFORMATION WORKSHEET S7-4 20S s'' Pr. PARCEL NUMBER: STREET ADDRESS: Qin/STATE / ZIP : Spa lc P G()A ggaa6 4,41# taAlt, SUBDIVISION: BLOCK IAT: ZONE: DSS LOT AREA= ,F/A= WADTU= •OE J, # OF BUILDINGS: # OF DWELLINGS:____ . WATER DISTRICT: OWNER: %?a. amend• /3, &to utu.2,--/ NAILING ADDRESS: 71, ( 24 t -Du, PHQNR,; 509- CITY/STATE/ZIP: SaO/CaACP, txi 9q Jog CONTACT: PHONE: SETBACKS: - ,FRONT:LEFT: RIGHT:REAR,: PERMIT USE;. r & ,Y, e************* iA******fr**************A***‘*,*/t** *** BU�,DI#IG INFORMATION. 4 ; CONTRACTOR LICENSE NUMBER: »1(,VAY1563V rY%E a CONTRACTOR: }'net/4 ;d1Ar/LEcu PHONE: 509 -tit MAILING ,ADDRESS : . 3/06 a t.v e n -Ice_ i QaL- ,- 4 ARCHITECT/ENGINEER: MONS!, MAILING ADDRESS: 4 NEW: REMODEL:_ ADDITION: CHANGE OF Ul: M DWELL UNITS: OCCUPANT LOAD: BUILDING $GT: *TOTES= % (WIDTH X DEPTH) SQ e FT.: BUILDING DIMENSIONS: * REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANTS _ _ * ************************************************* *****************,t** **,***,*. UJ aAve 1/...E.A.05D t om- G`�ccz.h*ern-- 51509 `"`,1 p C/i scree i E- -fog so Isie,c/Yu* re -9 — #g2 �� 'P 8'i - —rNArSttemtta