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1987, 06-06 Permit App 87001455
* INFORMATION WORKSHEET * **********************************************************************t3********* * * PARCEL NUMBER: / g 4s/- - /E3 `14 " IC 3 * * * STREET ADDRESS: , -- g4L/'/ /)%Ai N /Rrl - * * * * CITY/STATE/ZIP: DR, MAM f//A, 99021,E * * * * SUBDIVISION: (- NC r0 ti‘ P 6 r to * * * BLOCK: lb LOT: jG ZONE: DISTRICT: * * * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * * * * # OF BUILDINGS: # OF DWELLINGS: ,WATER DISTRICT: * * * OWNER: �AA 1i fE N W( C beer PHONE: -V4 - '/4/5/ * * MAILING ADDRESS: E - 3'/ / / Ai Ali V 1i4, * * * CITY/STATE/ZIP: Dife /n�H/LN / c7'0�1,� * * * CONTACT: WA WKEN PGICC fCEl f' PHONE: , - 9024 - '74 /'f * * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * * * * PERMIT USE: * * * ****************************************************************************** * BUILDING INFORMATION * CONTRACTOR LICENSE NUMBER: l rn K * 9 * * CONTRACTOR: C cen K ERe.s S Teel 1:32,1t PHONE: * MAILING ADDRESS: E-ACC-c!l, LAfie VIi_w J7r7 * * ARCHITECT/ENGINEER: ,TchPHONE: • MAILING ADDRESS: /V-. /7ao/, %e "lir Sp0K. Viz Cn1 b r .S totAE WA. * NEW: / REMODEL: ADDITION: CHANGE OF USE: • DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: j/ STORIES: * BUILDING DIMENSIONS: is' x '7`s * * REQUIRED PARKING: # HANDICAP: ****************************** *** a_ *7 -9, -/ss7 - - _599 (WIDTH X DEPTH) SQ. FT.: /3%/</ * SEWER (Y/N): HYDRANT: ***** **************************** COOK BROTHERS CONTRACTING Route 2 Box 853 B OTIS ORCHARDS, WA 99027 (509) 924-1557 0RM 20< Available from / CBS/NC. Townsend, Mass 01470 JOB SHEET NO. -- CALCULATED By CHECKED BY DATE SCALE