1988, 08-24 Permit App: 88002507 Reroof •
_
11.
INFORMATION WORKSHEET
PARCEL NUMBER: 205 r/// — 3
STREET ADDRESS: E /°y/y /Y-r`?
CITY/STATE/ZIP: s ��� ►��
SUBDIVISION: Ltlit//VCIeSPLAee
BLOCK: LOT: ZONE: A5 DISTRICT:
LOT AREA: f j[ )(j F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: gi a r r C(.e/[D PHONE: y - 77 - 7/yr
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: /Fc /eCO -
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: /7/6/e1-11 -f C -/t(3411
CONTRACTOR: j1/`eel6j cc c, /=i c C F r S feo, PHONE: , O p - Ya- 7 /7
MAILING ADDRESS: 3 (. ��m� 5 v 5-7170. -e=t c 7
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: