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1996, 07-17 Permit App: 96005561 Siding9-35 I ***************************************************************************** * * * INFORMATION WORKSHEET*************** ****************************************************tito �CCaIJri 'f 4 * * PARCEL NUMBER:. J U l 0 5 19�Ju * * * STREET ADDRESS: Air & 17 wood la an,, DIVISION OF BUILDING AND PL w'i NVQ * CITY/STATE/ZIP: s1/�Ki tit -L./ WA l �� * * SUBDIVISION: ** * BLOCK: LOT: ZONE: DISTRICT: * * * * LOT AREA: * F/A: WIDTH: DEPTH: R/W: * * * M OF BUILDINGS: I OF DWELLINGS: , WATER DISTRICT: * T11 W 1 /6/iY) PHONE: -60g - 9,27 - o/off • OWNER: A/440/7 * MAILING ADDRESS: W O Dd_Cdw ., * * * A * CITY/STATE/ZIP: � ( ter qq 1 * PHONE: - - * * CONTACT: * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * * * PERMIT USE: Slily_il'74.4c10_C/2714-da..)/�0_ * ****************************************************************************** * BUILDING INFORMATION * * * * CONTRACTOR LICENSE NUMBER: 6/40M-5100646.5 * * CONTRACTOR : fiat/MGA%c -k I VGvlM5105 PHONE: 5 -eq 403 - 6711/ * MAILING ADDRESS: C , 23a`t' d k} �9( /490"41-e-- 41 7 * * * ARCHITECT/ENGINEER: PHONE: - - * * * * MAILING ADDRESS: * * * * : 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:____ ***************************************p************************************ U aha) - ig133°-- f Lrn i Feb - /01, 73