HomeMy WebLinkAbout678 WILSON ST - Building PermitsAPR 1 8 196Q
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JOB ADDRESS b78 �._ Wilsori � - BUILDING PERMIT NO. 107fi9
AP
DATE
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DESCRIPTION
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 3f] COSTA MESA. CALIFORNIA
FOR APPUCANT TO F/CC lN COMPLE�
TYPE OR PRINT
BUILDING �
ADDRESS
COSTA MESA, CALIF'ORNIA `
OWNER .�Ll � N � t'� ! tir L/r
'ECT ' LIG.
�A.P.NO. I % �9� L./�Z�
� SETBACK LINE PHOM
NE�
REPAIR
BUILDING
SIZE
NO. OF 6LDG8. ,
1 �
LEFT 3O RIGHT 1 D
DESCRIPTION OF WORK
�v ROOF T
'�` �1�� COVERING T�T �
' AId�FWORK_TO BE P���ORMED '
I HEflEBY ACNNOWLEDGE THAT I HAVE flEAO THIS APP4CATION
•ND BTATE THAT THE ABOVE I6 CORRECT qND AGflEE TO COM-
PLV WITH ALL CITY OROINANCES ANO BTATE LAWS NEGIILATING
9VILOING CONSTRUCTION.
SIGNATIIRE O
PERMITTEE
AUTHORI2E AGENT
���� �?ECE��E�
�a� ii- �{- S� i
FINANCE DEPT.
APPLICATION <FOR FERMIT
• �• ���In ir1E�i
BUILDING
FOR OfF/CE USE ONLY
I RELEIPT NO. I �CM�
r
RECEIVED BY DATE RECEIVED DATE I6:
.n m✓ ii ��/_ r�i ;/ G
COSTA MESA, CALIFORNIA
APPROVED
ZON
ZONE ' INO.OR
PL�NS
APPROVE�" /�� /
(CENTEN
THE AMOUNT BNOWN UNOER VALUATION �8 FOR THE
PURPOBE OF ESTABLIBHING A PEHMIT PEE ONIY.
VALUATION O� MIT FEE $� O�
$' O PLAN CHECK S
TOTAL FEE S „'�, �