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1991, 06-27 Permit App 91003760 Siding* INFORMATION WORKSHEET * * PARCEL NUMBER- a2- * * * STREET ADDRESS: * * CITY/STATE/ZIP: �Po�c �►�� �� �� a i �' - ,� * * SUBDIVISION: * BLOCK- LOT- ZONE: DISTRICT: * * RE WTX TMi: DEPTH: R/W: * * # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: * *` OWNER: l) 4 U ✓� i1'L PHONE: �8 v�`�--� - * * MAILING ADDRESS: C-\ to - * * CITY/STATE/ZIP: p �1f�LAM`Z WA C. * * CONTACT: PHONE: 9 �T�a � �_--�- * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * * PERMIT USE: * ****************************************************************************** * BUILDING INFORMATION * * CONTRACTOR LICENSE NUMBER: QAC U.AY 34Ca ML * * CONTRACTOR: c UALA fj R-pTTwz lZ-7!, PHONE: S -92),3 * MAILING ADDRESS: a I O (, * * 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: