HomeMy WebLinkAbout337 20TH ST - Building Permits6
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 911 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING ADDRESS 33.d- Za'—s sy
COSTA MESA. CALIFORNIA
qRECEIVED
FEB 27196
FINANCE RIPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
OWNER D
RECEIPT NO. Pf V'T L I
MAIL
REBY O wIT{I9 ISSUED
ADDRESS
rKJV�
270 I ��111 '
TEL.
BUILDING
CITY NO.
ADDRESS
ARCHITECT EL.
MeLrlf•10.
COSTA MESA. CALIFORNIA
OR ENGINEER
FIRE
ADDRESS
ZONE TYPE GROUP
CONTRACTOR 7 �.
APPROV
BY DATE
ZONING
ADDRESS
'J
ZONENO.
OF
I
U BE OF NEW
CITY
PLANS L
BUILDING
STATE TEL
LIC. NO. NO.
LEGAL�v—
DEECRIPTIory
SIZE
I
NO. OF BLDOB./JJ
�•
— / 7
OF LOT
Now ON LOT
A P NO / / [3
USE OFYARDS
EVES �' '0 SU
EXISTING BLDG
APPROVED ALLOWED
SETBACK LINE FROM /'
CENTER OF STREET J REAR YARD JO.
(CENTER LINE ET.I 6
FRONT ! Q �/'F'T. —� IN.
SIDE YARD I LEFT
I RIGHT '•
R. SIDE FT. ^— IN.
DESOF WORK
L. SIDE FT. N.
IIPTION
�CR
NEW I/
� 11 ALTERATION I II ADDITION I
REAR FL IN.�
REPAIR I I MOVING I I DEMOLISH
ABYPROVED� DATE
BUILDINGNO. OF
I
SIZE ROOMS STORIES
1
EXTERIOR WALL (ROOF
�
COVERING COVERING
-F. ITT ATD
USE SUI ING AND WORK TO BE PE ORM D
--
J
77 aAl1
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19 / t
VA `1%7— APPROVED _3
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UNDER VALUATION IB FOR THE
ANO 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
VALUATION
BUILDING CONSTRUCTION.
SIGNATURE OF
PERMITTEE /
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PERMIT FEE S ��•�
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PLAN CHECK S
E
AUTHORIZED AGENT
E
TOTAL FEE '�
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