HomeMy WebLinkAbout758 WILSON ST - Building Permitsa �os ni
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TRACT FIRE ZONE VALUE
Si naeure Daee TVPE V GROUF
SUBCONTRACTOR
MISCELLANEOUS �,f-fl������-�j
HOUGM HEATING RNO �IR CONDITIONI
TEMPONANV SERVICE OR POIE
UNDERGROUND [� POWEH �
ROUGN WIRING
HEO , VENT., REFRIG.
PLUMeiNG. FIN4L 4ND GR
FINnL
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QRqN,�vE COUNTY BUILDING DEPARTMENT � - APPLICATION FOR PERMIT �
� 636 North Broadway
` _ " SANTA ANA, CAUFORNIA g�- � � I `,�' � �'
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PLOT PLAN
Show location and distances from
property line and between buildings.
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
� For Applicant to Fill in Completely
BUILDING q
ADDRESS � V �
OWNER �[ ��'�/%l��' ��L�'0�
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BqANCH
ADDRESS
ARCHITECT TEL.
ADDRESS
CONTRACT��H%LF�A �� EI�/�L� Q�
AODRE55
TEL.
CITV NO.
STATE CITv
LIC. NO. LIC. NO.
SI2E NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF
EXISTING BLDG.
SI2E OF NO. OF
NEW BLOG. ROOMS STORIE:
EXTERIOR WALL Fi00F
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
I hereby acknowledge that I hava reatl this application antl state
thet the above information is correct and agree m comply wiM
ell lews reBulating b�iltling eonstruction, and 1 shall not employ
eny person In viola[ion of the workman's eompensation laws of
tha State ot Calitomie.
I hereby certify that I am praperly licansatl as a conttactor untler
the Stete of California Businass�and Profeuions Cotle, Oivisicn 3,
Chaprer 9, antl that such licenses are in full force an0 effect, or I
am exempt irom the provisions ot the Stete of California Business
and Protessions Cntle, Division 3, Chapter 9.
Signature oi •F �/—���/,/_
Permittea __/f¢��i� ./ /i�'�i/
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Authorized ABent �
vnin
,�dR 19-74�,i���� F1?_a t:au��S.50
APPLICATION FOR BUILDING PERMIT
BUILDING
ADDRE55
OWNER
FIRE
ZONE
APPROVED
- '[Z2 � a�o."s..E
�'AIiDS APPROVED
MAIN BUILDING
(FROM GL STREET)
BET
VAR. #
C.U.P. #
APPROVED�
THE AMOL
THE PURPO
VALUATION
$ �O/ �
DATE .�/�
YARDS APPROVED
BET. MAIN &
ACGESS. BLO('.S.
DATE
APPFOVED
�ATE 3-C°I -�
SqATE
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� m
0
VALVATION IS FOR �
A GERMIT FEE ONLV: m
¢
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