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1989, 11-08 Permit App: 89004582 Soffit, Fascia ********'******************************************************************** INFORMATION WORKSHEET * **************************************************************************** � 5- ( , - * ` 63 * STREET ADDRESS: .S a J PARCEL NUMBER: �7-- n D 7 a (7/# (cCoC_)ci F * * CITY/STATE/ZIP: ,,5p0 AI/ &DA ��/� * * SUBDIVISION: * BLOCK: LOT: ZONE: DISTRICT: * * LOT AREA: F/A: WIDTH: DEPTH: R/W: v * * # OF BUILDINGS: # OF DWELLINGS: , WATER DISTRICT: * OWNER: E rY1, ';"1 d, T l C7 3C PHONE: 6-09 - 6.3 -33c:2 ci MAILING ADDRESS: , 0?07 �Cto/S * * CITY/STATE/ZIP: 4/0 c k-e� L� g19,2� CONTACT: PHONE: - - * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * * PERMIT USE: *cf V i GEC- CCII * r******************************************************** ******************* BUILDING INFORMATION G e f 70YJ ,2O 79 * /� P,tt Mit/ ,- .e5si5�' * CONTRACTOR LICENSE NUMBER: MC UA K3 r 3z-i&Th6 CONTRACTOR: 1 (.Ufa,/ I /-J[ ,t, PHONE: 6-0,7 - 93 g -46 ff to MAILING ADDRESS: /v , 3/0 /4-7-30i)KL / J - 47/ /ct) (,F1 A q 7 i - * * 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: * *****************************************************************************