HomeMy WebLinkAbout106 22ND ST - Building PermitsA.P. NO. i 197 ^Q n Cr%
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OF LOT a OW ON LOT
UBE OF
EXISTING BLDG.
SETBACK LINE FROM I
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SIDE YARE>(v'tY,�RIGHT LEZTi(/�/
ESCRIPTION OF WORK
11 1 11
CITY O` -STA &;ES:>
PLAv' I 'G DEP I. `
DEPT. REG.
ByD TE
NEW
ALTERATION
6421
FEE RECEIVED
D
COSTA MESA BUILDING DEPARTMENT
I
P.O. BOX 317
REPAIR
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL
APPLICA*--n�Ot-RMIT
IN
BUILDING
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BUILDING
ADDRESS
SIZE 70 ROOMS STORIES
COSTA ME A. CALIFORNIA
FOR OFFICE USE ONLY
COVERING
RECEIPT NO,
OWNER
17
MAIL
ADDRESS
/
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REC BY
DATE RECEIVED
OAT. U O
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
TEL. /
BUILDING
STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL
CITY
,j%CQ. NO. `, /
ADDRESS
ARCHITECT LIC.
OR EI,' 'NEER NO.
COSTA MESA.- CALIFORNIA
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PERMIT FEE $
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FIRE
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PLAN CHECK $
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NO. UNOF S TYP GROUP
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TOTAL FEE $
CONTRACTOR
NO.
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APPROVED
ADD E S
NO.
BY DATE
LEGAL
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CORRECTIONS
DESCRIPTION
NO,
BLOCK
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A.P. NO. i 197 ^Q n Cr%
S12E pk� r7{ NO.OP BLDGB.
OF LOT a OW ON LOT
UBE OF
EXISTING BLDG.
SETBACK LINE FROM I
CENTER OF STREE�s. REAR YA/) /�/)
SIDE YARE>(v'tY,�RIGHT LEZTi(/�/
ESCRIPTION OF WORK
11 1 11
CITY O` -STA &;ES:>
PLAv' I 'G DEP I. `
DEPT. REG.
ByD TE
NEW
ALTERATION
ADDITION
I
REPAIR
MOVING
DEMOLISH
BUILDINGNO
.�JU .�
'
SIZE 70 ROOMS STORIES
EXTERIOR WALLROOF
I
COVERING
COVERING
B ILDING
•3c { t
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE Lw WS REG TING BUILDING CONSTRUC.
TION.
I�
VALUATION C/
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PERMIT FEE $
SIGNATURE 0,&',
PERMITTEE/
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PLAN CHECK $
$ �+�IJ�(/✓j. /—�/
AUTHORIZED AGENT
TOTAL FEE $
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