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1996, 07-23 Permit App: 96005765 Siding, Soffit, Fascia a ,.. , qiv,.1 ....7 (0....5 ` * INFORMATION WORKSHEET **************************************************************4**************** * * * * PARCEL NUMBER: * * * STREET ADDRESS: 6 ' /340, 03- 0 * CITY/STATE/ZIP: S: �r P1 0)4 f01 * * * * * * SUBDIVISION: * * * BLOCK: LOT: ZONE: DISTRICT: * * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * * * * * OF BUILDINGS: M OF DWELLINGS: WATER DISTRICT: * * * aduaAel PHONE: bay - 1a - ags ** OWNER: fl P ►K-IL * * MAILING ADDRESS: 6 , /3o3- /a *4 * * * * CITY/STATE/ZIP: Sprk40.4,e, (..c),4cl��/(, * * * * CONTACT: PHONE: - - * * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * , : * PERMIT USE: 3is1 , , SO r�f .1-� L� * ** ****************************************************************************** * BUILDING INFORMATION * CONTRACTOR LICENSE NUMBER: 64R fri5 Gtr a‘0(o * * CONTRACTOR: (;:ibtrii filWati S7h tA n/ „)5 PHONE: 5-0q - 44/3 -5-/q/ * MAILING ADDRESS: 6 og3r.L EZA cer d i pv k -' J �'��'� yn�D� * * * 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: I HANDICAP: SEWER (Y/N) : HYDRANT: * ******************************************************************************