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HomeMy WebLinkAbout558 19TH ST - Building PermitsCosta Mesa Building DeparLment ,�,1,� APPLICATION FOR PERMIT 111 EAST 20th STREET B U I L D,L N G 9 COSTA MESA, CALIFORNIA � FOR APPLICANT TO FILL IN FOR O&'FICE USE ONLY . . Recefpt No. Permit No. Addretss a� .S 0�� f%i J/ _�oZ.S�� Q e�/. Received by,V D'ete Reo'd. DaM Issued Costa Mesa, California , c r Nearest M d/� �'� Buildin � � Ij---�-t/ - J _J Crosa St. !' 1 2�2%1 Cl,;�a�o sf• q�'��h �f�)1 raJPdC� NoI.I.P/1 {�' or �ic. trector City No. Deseriptlon � No. /3 Y/y�Blxk � Tract�. (Attach Metea and Bounds) ��`� - 3 0 3-! No. of Bldga Size of lot qlv.'T X� I G�. Now on �oc 0 � � Side Var'd �, � [PTION OF WORH �Alteration I I Addition I Moving I I Demolish I � No. ot :� Rooms � Stories I Roof �1 G C O Coverin9 {. O/h %�. ra&� I hereby acknowledge that I have read ihis Applicatlon and state that the above is rnrrect and agree to comply with all Clty Ordinances and State L.aws regulating building construc � � �� Signatureof Permittee Authorized Agt. ValuationQ O� Permit Fee $ (�. o Plan Check $ . D O S 8 Totaf D � Fee $ % FONM 2O4 p-M 2M 6-Sa ' �-��pJans ed —1 _ .. l Bond Bi FINAL nrrx,ovAr.s �n Lxation Inapector Materfals, �inning iro Stops, ' , Bolta Int Date O � � 2 D r � . .. . ' a! 4.:` . . . . . "� o ,.._ . . . i v . ' . ' . ' , c u .� S J• . � �d - � ' ' _ ' '.' . . 0 i � _a , - ; .. .N • ' o . � .. _ - -' .. � �... � . . . 9 - - . - - " pro►osr ." . .------ - - - . ,. . . _ _ _ � _ . ' Gara _. � ----- -- . .- - - . V{��-`, .,'; , �'"_s — • r , -�', � , . _ , ,; , , - . . . . . ..�, � _ � 'o � , �` , ', % � . , '�. ,. . — -. .. � ; ; ; - s����� ,�� - � �. • ' . � ��sr, r. ; �� :• �t:} `,' 1:: — - . '"-- - - . , -. -� _ . � �„PI:OTP�:?lN . �. . .. . � .. � � _ ..,; � Show Iocation and distances from . . .. � . ' ` - - , propeRy line and between bufldings. , , � � � . i � � � • � . ; -_ _ ". . " . -. . � .`� . . ' � _. ' , _ . _ Do y,ou carry Workman'e Co¢z�ensation � , Insursnc•e 7 1 ea � 17� •: ,No � LJ •I am arvare o�' Provioicn ;i7�p'oP t�e State Labor Code r,i:ich rwc;,ir�;; L•lrnny e^��iIcSer to be insu: ed a�ain� t liability ic; � norknan's c ••�ensation. � ��� � '• ' '� • , � Sign2d: , � - - - - - - -- - - - - - .. . �.,