HomeMy WebLinkAbout359 16TH PL - Building Permits(BUIL INS-(► W'DU��Q OF I '
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EXTERIOR WALLJIIAIROOF N 1.•
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COSTA MESA BUILDING -SAFETY DEPARTMENT
0 2 6 195§
P.O. BOX 317 COSTA MESA. CALIFORNIA
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FOR MPPL/CMNT TO f/LL /N COMPLETELY
APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING
BUILDING
THE AMOUNT SHOWN
DER VALUATION
ADDRESS `v
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PURPOSE OF ESTABLISHING
COSTA MESA, CALIFORNIA
FEE ONLY.
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FOR Off/LL USE ONLY
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RECEIPT NO. PERMIT NO.
OWNER
BUILDING CONSTRUCTION.
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RECEIVED BY I O Tfi RECEIVED I DATE ISSUED
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ADDRESS
ARCHITECT
ENGINEER NO.
COSTA MESA, CALIFORNIA
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APPROVED
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DESCRIPTION NO.
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A.P. NO. I 7 1 8
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ALLOWED
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CENTER OF STREET REAR YARD
R. SIDE
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SIDE YARD LEFT
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L. SIDE
FT. IN.
DESCRIPTION OF WORK
(BUIL INS-(► W'DU��Q OF I '
SIZE ��py4�0 c' IY OMS 10 STORIES
EXTERIOR WALLJIIAIROOF N 1.•
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
THE AMOUNT SHOWN
DER VALUATION
IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PURPOSE OF ESTABLISHING
A PERMIT
FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND
STATE LAWS REGULATING
BUILDING CONSTRUCTION.
VALUATION
SIGNATURE O
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PERMIT FEE $
3' �V
PERMITTEE
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AUTHORIZED AGENT
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TOTAL FEE S
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