HomeMy WebLinkAbout768 WESLEYAN BAY - Building Permitsj — S2 6'tj 3 $ GO 62
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COSTA MESA BUILDING -SAFETY DEPA T T 7 �AP</LIC TION FORSTRUL/fUR�L PERMIT= i L
P..O. BOX 1200 COSTA MESA, CALIFORNIA 92626
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For Applicant to Fill in Completely — Use Ink Only
BUILDING
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ADDRESS Tract 10626 6442, 1/ Alf
BUILDING (�
OWNEROR
TENANT M.D. Janes Co.,CD.Inc.
DRESS 6
UNITOR
SPACE NO.
ADDRESMAINS 2950 Airway Ave., D-9
TR.NO. LOT
BLK.
L.
CITY Costa Mesa NO. 979-3376
NEW I
ADD ALTER IREPAIR
MOVING DEMOLISH
CONSTRUCTION
Not
LENDER selected
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BRANCH N/A
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OWNER ^�gS L,/�• J9—
ADDRESS N/A
VALUE
USE f
ARCHITECT TEL.
OR ENGINEER Dan' -
F/� 7� 2
1/ T
ADDRESS 3848 Cam
ZONE `� /� J
TYPE tr GROUP N ✓
APPROVED
CONTRACTOR Owner
BY DATE
ADDRESS A
TEL.
CITY a NO. e
STATE CITY
APPROVED SETBACKS
LIC. NO. B LIC. NO. A
SIZE
NO. OF BLDGS.
(FROM C/L STWT
OF LOT 550' X 334'
NOW ON LOT Q
FBCUr
USE OF
N/A
EXISTING BLDG.
Separate permits are required for
L. SIDEJ�Z FT.
f
electric, plumbing and heating work.
REAR FT.
USE OF BUILDING AND WORK TO BE PERFORMED
PLANNING ACTION
In
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APPROVED 1
APPDATE
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I hereby acknowledge that I have read this application and Rate
that the above Information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any parson in violation of the workman's compensation laws of
L
Me State of California.
1 heraby certify that I am properly licensed as a contractor under
O SO. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Code, Division:),
Chapter 9, and that such licenses are In full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
em exempt from Me rovisions of the State of California Bysiness
VALUATION PERMIT FEE f
and Professions Cod Divisi rya, Chapter 9.
PLAN CHECK f
%
Signature of/
Permittee
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$ SQ � —7 / TAX f
or
8/17/79
Authorized Agent e 1
TOTAL PAID f 7, 28J�