HomeMy WebLinkAbout542 19TH ST - Building PermitsAOSA MESA BUILDING DEPARTMENT
P.O. BOX 317
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS SL2 W_ 19th Blde. x#1807
RECEIVED
FINANCE DEPT.
CITY OF COSTA MW
APPLICATION FOR PERMIT
BUILDING
COSTA MESA. CALIFORNIA
FOR OFFICE USE ONLY
RECEIPT NO.
PERMIT NO.
OWNER Howard IaWSOn
.!
MAIL 1
RECEIVED BY
DATE)REC,E.IVVED
PATE ISEII EO
ADDRESS 42 W 19th
TEL.
Costa Mesa
BUILDING
CITY NO.
ADDRESS
ARCHITECT LIC.
OR EN'=INFER No.
COSTA MESA. CALIFORNIA
FIRE
ADOK'
ZONE
CITY LIC.
TONE
pOA OF
TYPE GROUP
CONTRACTOR Crank Bros • R.f • No.
126 Commercial Wa TEL.
APPROVED
ADDRESS NO.-
y
BY DATE
LEGAL
LOT
;i
DESCRIPTION PTION
NO.
BLOCK
TRA O'er
��ii
I`MI i
A.P. NO. -� p�
a: .tl
SIZE
O
O. OF BLDGS.
li
CITY OF C05TA MESA
OF LOT
Now ON LOT
USE OF
EXISTING BLDG. Store building
SUBJECT 'rOF4LPG.
DEPT. REG.
SETBACK LINE FROM
CENTER OF STREET — REAR YARD
13Y DATE
SIDE YARD RIGHT LEFT
DESCRIPTION OF WORK
NEW 1
11
ALTERATION
ADDITION
rin 3 u
REPAIR Cod.
MOVING
DEMOLISH
BUILDING NO. OF
SIZE ROOMS STORIES
EXTERIOR WALL
ROOF 1G/30j��1�1and
COVERING
COV ERIN
oe
USE OF NEW
BUILDING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION.VALUATION
_
SIGNATURE
PERMIT FEE $ 4.00
PERMITTEE
PLAN CHECK $
$ 595.00
AUTHORIZED AGENT
TOTAL FEE $ I I •00
M.
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