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1993, 04-30 Permit App: 93003092 Siding • - �. ca. r` Val ; etO. 60 00-1:*************************************************************************** INFORMATION WORKSHEET * ************************************************************,r*************** * * PARCEL NUMBER: * STREET ADDRESS: t©5 b t Lvi-- * * CITY/STATE/ZIP: S Qok-Av c WA c19Z-d * SUBDIVISION: * * BLOCK: LOT: ZONE: DISTRICT: * * :p LOT AREA: F/A: WIDTH: DEPTH: R/W: * * # OF BUILDINGS: # OF DWELLINGS: , WATER DISTRICT: * * OWNER: 2fp\otc-c ! rap, C_o1 ,.,j(' PHONE: -9Z ,/ - -1FiC(r * * MAILING ADDRESS: \O,;'OL, t * * CITX/STATE/ZIP: ;i'',45(41_11�.c WA 91 ?__Dfz, * * CONTACT: PHONE: - - * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * _ * µ PERMIT USE: SA', * r**************************************************************************** BUILDING INFORMATION * * CONTRACTOR LICENSE NUMBER: cmc_ V a ,r g L 3 L( 4. M C * * CONTRACTOR: MC V Cit-e5. PHONE: -ck2 S -'—i * MAILING ADDRESS: W. .j10(..0 (�,--y),Jti< * ARCHITECT/ENGINEER: PHONE: - - * * MAILING ADDRESS: * * � NEW: REMODEL.: ADDITION: CHANGE OF USE: * * DWELL UNITS: . 00CUPANT LOAD: BUILDING HGT: STORIES: * * BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. : * * REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT: * ****************************************************************************