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1990, 08-13 Permit App: 90003901 Siding, Soffit, Fascia IrrLQ_ UIL7 L- *******************************************************************16 **** INFORMATION WORKSHEET * ****************************************#*********************************** * PARCEL NUMBER: l s3-6?U / * STREET ADDRESS: E / /104- // * CITY/STATE/ZIP: .4)-Ota f 0A 962-24 * * SUBDIVISION: * * BLOCK: LOT: ZONE: DISTRICT: * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * * # OF BUILDINGS: # OF DWELLINGS: . WATER DISTRICT: * OWNER: .[1 2C 'C( A. L t,y. PHONE: 509 - 9,4- 400 * Q * MAILING ADDRESS: ///e (-7-/Pi * * CITY/STATE/ZIP: -- /' r1 j (79c)/(7/ * * CONTACT: PHONE: - - * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * PERMIT USE: „ X SG i) � �Z V/%9CLc(_- * * r**************************************************************************** BUILDING INFORMATION * CONTRACTOR LICENSE NUMBER: M 6v14-5-'45(.,3(-, /D /V E * * CONTRACTOR: (y G U/,ty 6L < L- PHONE:32-)q - i _46g, * * MAILING ADDRESS: A) , 3/0 ,�7"�"L 677 k-C —5;20 a cC, q%-f � * J * 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: * x************************************************************* * �_******* 14� � - l lOr , m.Ff1t, - .,ii->I