HomeMy WebLinkAbout985 19TH ST - Building PermitsL
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COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
FESS
t to Fill in Completely — Use Ink Only
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BRANCH
TEL.
ADDRESS
['CONTRACTOR
ADDRESS
TEL
CITY
NO.
STATE
CITY
LIC. NO.
LIC. NO.
SIZE
NO. OF BLOGS,
OF LOT
NOW ON LOT
USE OF
Separate permits are required for
electric, plumbing and heating work.
0968 12/11./78 33.50 TL
09681'2/1"1'/78_ _ 3350CAT0
! 0668 00004.471 48 -
PLI TI 1V 174tTRUCTU L PERMIT
RC D DATE RECEIVED DATE ISSLIJED
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A. P. NO.
—D D- Z PERMITNO.
BUd/J JQ y
ADIDRIESS 1 mal
R C LOT BLOCK
W AD P MOVING
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ROVED
ZONE N ��
PLANS
YARDS APPROVED
USE OF NEW
BUILDING��.(�
YARDS APPROVED
ACCESSORY BUILDING
V NIY V YYV rIM1 I V rartl�lln MCV DISTANCE BET. BET. MAIN &
Q/��,J MAIN BLDGS. ACCESS BLOCS.
�/ aF Llyl/Q��/Gil/.$ VAR. db DATE
C.U.P.0 APPROVED
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I hereby acknowledge that 1 have read this application and state
that the above Information is correct and agree to comply with
m
all laws regulating building construction, and I shall not employFTHEPURPOSE
�any
person in violation of the workman's compensation laws ofthe
State of California.
1 hereby certify that I am properly licensed as a contractor underFthe
State of California Business and Professions Code, Division 3,T
HOWN
ALUATION IS FORmChapter
9, and that such licenses ere in full force and effect, or I
OF ESTABL
A PERMIT FEE ONLam
ezem t from the provisions of the State of California Business
nd Prate tons Co Diviclan 3, Chapter 9.
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P IT $
PLAN CHECK $Permittee
Signature of
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TAX$
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Authorized Agent I TOTAL PAID $ S . s D