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1988, 03-23 Permit App: 88000579 Repair Fire Damage
INFORMATION WORKSHEET PARCEL NUMBER: 2 5... - 5 i9 STREET ADDRESS: CITY/STATE/ZIP: SUBDIVISION: BLOCK: ( LOT: g ZONE: ft DISTRICT: LOT AREA: F/A: WIDTH: 7< DEPTH: / 3 R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: ./l<4;>01- n PHONE: - 727- 0203 MAILING ADDRESS: 66 70 S - CITY/STATE/ZIP: yLo CiC. t CONTACT: S PHONE: - - ?C‘SETBACKS: - FRONT: FT: ( RIGHT: REAR: PERMIT USE: A ' ****************************************************************************** BUILDING INFORMATION '2 7 (L7 - CONTRACTOR LICENSE NUMBER: /1/1 , 7 L/ s,6 7/ (V9 CONTRACTOR: ` / / PHONE: - 9 C MAILING ADDRESS:,% i`47:t4 74 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: