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1987, 12-18 Permit App: 87004230 Pellet Stove • *4444:4444-r***4*;Y**;**********************,***************4***** 4*****4**44-44_ )* INFORNATICN rCRKSHEET = *****4- ***444;44*************4*4**************4444444444 4 4 444444444*********** * GENERAL INFORNATICN * * 543 L�1S * PARCEL r•:UtF G'b � '�j0 Y �- \ C �/ * STREET ACChESS - � * * * CITY/STATE/ZIP :____ -` _ \ �3��= _ n * SUB IV IS ICN : -o`a' f rd'- * BLOCK : LOT :_ I� S $ 5_-- [CNE :_ p_�_ CI,TRICT�:-____-- * Y * LOT AREA : F /A : inIDTH : DEPTF: R/1. : * * * 4 CF BLCGS : il CF DWELLINGS : _ * * OWNEa, :-- ��\5. .�- -- A.'- Q F1-CNE "v_-� 1 l * * MAI L ING ADDRESS :\--K- )‘_ C ��(�--- _.�'\. ,X.C•�- ,IC' 4 * CITY/STATE/Z IP~_� ,..... —VP_:1 �� -,- -- , Q , C\C\Os) * * CONTACT ''‘,..-' ` _ --- % r S� FHCNE - r )� * SETBACKS - FRCNT LEFT RIGHT REAR __ _ * `- Y *******44 / y PE R M I MT+L�S=y ` /`� � V y\ `y--y� yi ` �_ yam{ y V�� y,_Cyy� ;yy y ******4****4 4 4**444 4 t Y 3`r**** 4*********** ***************************Y***'1`****** *44***c******4** 44*44444 4 4 444 4********4*4*4 4**************Y******************* * PLUMBING INFCRMATION * * CONTR LIC4 : _ x * * * CONTRACTCR : PFCNE ' - - * 4 4 * NAILING ACCFESS : * 441*****4X4 **4XXX*44%*****4**************************************************** * ECFANI AL INFORMATION * CONTR LIC 4 : . r __� Cl -) 4 * * * CONTRACTOR :\ C�� C _� -'41--)•- -_\_\\ • PFCNE : \C"._ -C-&-,V * * MAIL INC- ADCRESS :_ ._ � \ ,.-kJ°Lk`�t * * * ELECTRIC :__ GAS :___ CIL: CCAL :_ WOOD SCLAR:___ FEAT FUNP:___ * * 4********444444444444***********************************4444*4*4******* 4444*4*