HomeMy WebLinkAbout567 19TH ST - Building PermitsOR�4NGE COUNTY BUILDING DEPARTMENT
•--- � 636 North Broodway ,
SANTA ANA, CALIFORNIA '
FOR .APPLICANT TO FILL IN . _
ADDftE55 Sf0 /l ��a.. �.� IY �
SCHOOL DIST. � � y 0 � _
CITY (,�, �(' �
ARCHITECT OR 1�y _ __ � �
ENGINEER /lLtrllJ-�
ADDRESS
JTRAG70
ADDRE55 ��
LEGAL
DESCRIPTION I LOT NO
TNEL.
Q" \ ��
TEL. � —�
TEL.
NO.
(ATTACH METES @ BOUND51
TRAGT ��„Q1/
/ y NO. OF BLOG9.
SIZE OF LOT (p O^��� NOW ON LOT lG�n1
USE OF q NO. OF NO. OF I'Y
EXISTING BLDG.L� Fexiues� ROOMS
DESCRIPTI N OF WORK
�
WALL
COVERING �
USE OF NEW
BUILDING
IROOF
COVERING
�. / .
APPLICATION POR PERMIT �
� Bu��Da��
FOR OFFICE USE ONLY
RECE�PT NO. PERMIT NO.
�-> o �� y�4 3 �f o
ED BY DATE OF APPL. DATE ISSISCD
3 � -�- � � a - 6 s3
SCHOOL DIST. / �
OR TOWN l�('�
NEAREST
CROSS ST.
20NE O. Oi
J . I PLANS
APPROVED
CORRECTIONS
APPROVALS
FOUNDATI : LOCATION INSPECTOR 1
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORM MATERIALS, �SC{ 1�
APPLIGATION AND STATE THAT THE ABOVE IS COftRECT UNDE PINNING
AND AGREE TO COMPLV WITH ALL COUNTY ORDINANCES FRAME: F E STOPS. � ��
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. BRRC 1 G, BOLTS
LRTH. INT. � �
-�i r .! Y7 � _ " �- ci
AUTHOHIZED AGT.
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