1987, 06-11 Permit App: 87001731 Pool w
.INFORMATION WORKSHEET *
* ri ✓ *
* 2.Fs` - /3/g **
* PARCEL NUMBER:
* STREET ADDRESS: 1 /1 S2;(, - ),7 ` *
* CITY/STATE/ZIP: SPZ9r—fy-ilk � +ii •• ��'�0 4+ *
*
* SUBDIVISION: ( *
*
* BLOCK: I S LOT: /g ZONE: AS DISTRICT: F *
* LOT AREA: /a56) F/A: WIDTH: 6/C DEPTH: 156 R/W:O *
*
* # OF BUILDINGS: # OF DWELLINGS: *
* OWNER: P�+I cafe vL9'E C H L- PHONE 9-/ 39' *
*
* MAILING ADDRESS:
S41AL..
*
*
* CITY/STATE/ZIP: *
* CONTACT: SJt.A)SI'I4J
PHONE-...5-6 f -F9'er-C1-7f *
* SETBACKS - FRONT: LEFT: RIGHT: REAR: *
*
* PERMIT USE: ¢uL Lj) /Vre-/nJ gtA.,f r"t- --t i er-' ` rer *
*
*************************************************************************
* BUILDING INFORMATION *
* *
*
* CONTRACTOR LICENSE NO. : C 7 7 It! '5 *
Q
* CONTRACTOR: 6-` L
A, P&$ r, I PHONE:�7Q 3y7/ *
* sts *
* MAILING ADDRESS: /1/ 9 Ala, A/✓£S 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. *
* *
*REGUIRED PARKING: # HANDICAP: SEWER: (Y/N) : HYDRANT: *
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JUN-12-'87 10:00 IU:HEALTH SPO TEL, hJC1 5 19-455-471E #294 P01 '-'"-
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* INFORMATION WORKSHEET
*************************************************** *** **** ** *****
* .._ ; , % , 40/;:v1.7** iV'
* PARCET.. NUMBER'
* STREET ADDRESS:___Lt ../j •L_2.___,k7_1__,__Hlift .,._ *�
s * CITY/STATE/ZIP: -all�* y_. - * '
* *
* SUBDIVISION T *
* DISTRICT:
* BLOCK LOT:—..._ ZONE:_.
* DEPTH�_�
R/W;
* LOT AREA.: F/A= WIDTH=-* *
*
* I OF BUILDINGS: I OF DWELLINGS: q *
* PHONE it-f 311
* OWNER=_L/ t I �---- *
i
* MAILING ADDRESS:___SejtlEe_________.__..______ *
* *
* CITY/STATE/ZIP:^,,, �-^
� :S�t�� -�- Y�
* CONTACT:« PHONE *
* sm.. -- FRONT: , LEFT: . ,_ RIGHiT:--� REAR: *
* PERMIT USE:_____ *
*
*************************************************************************
* BUILDING INFORMATION *
* x
* e,44.7-e70-).- 1G/ dbP *
* CONTRACTOR LICENSE Ko. :
* PHONE:Or-71,7 ,��7 9 *
* coNTRACTOR: *
* MAILING ADDRESS:_ /1r_ ` *
* ia frii___U_' A , ________ _ *
PHONE:._..
* ARcHITECr/ENGINE:. - *
*
*
* MAILING ADDRESS:„• M� ---y
*
* NL 1: RF1 OD8L: ADDITION: _ CHANGE OF USE:_ *
* DWELL UNITS:. .r_ OCCUPANT WAD:_ BUILDING RGT:_ STORIES:-.. _— *
* *
* BUILDING DIMENSIONS: z _... (wpm X DEPT$) SQ. FT._^_- -- *
* HYDRANT*REQUIRED PARKING: # HANDICAP: SEWER- (Y/M} s
*************************************
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