HomeMy WebLinkAbout509 19TH ST - Building Permits_� , � . ' 255�2
GOSTA MESA BUILDING-SAFEr'I DEPARTMENr
P.O. BOX 1200 � COSTA ME8A, CALIFORNIA 02610
For Appltcan! fo Fill In Completaly
TYPE OR PRINT
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COSTA MESA, CALIFORNIA
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PLY WITX ALL CITY ORG711ANC[� AN A� LAWY R[OYLIITINO
BYIL�INO CON9TRUCl10�
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CITY aF C �S �A MESA
APR 1 1966
APPLICATION FOR PEFW
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11iC[IR NO.
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YMOD MPROVHD
MAIH BUILDINO
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VARDBAPPROV6D �
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DATB
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yALUATION �O ��Q �
PERMIT FEE � �
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TOTAL FEH S C�
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' �'CG1$7A' MESA BUILDING-SAFEfY DEPARTMENT
P. O. BOX 817 C08TA MEBA, CALIFORNIA
—Far Applicant to Fill In Completely,
TYPE OR PRINT
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ADDRE58'
COSTA MESA, CALIFORNIA
, ARCHITECT /.. _ q, A� � THL.
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STATE T6L:
LIQ NO. NO.
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OF LOT NOW ON LAT
USE OF
EXISTIN� BLDO.
eETBACK LIN[ PROM �` �y
cenT¢n OP GTrt[R �N RbAR YAR�+/�I
81D6YARDI LBPT RIOHT
DESCRIPTION OF WORK
' COVERINOWALL ,�(!� I COVHRINO COH ��
rU6H OF BUILDIf�G- f�D WORK TO BH PHRRORMHD
1 HERBBY ACKNOWLeD08 TX�T I� M�VH RBAD
ANO BTATB THAT TH8 ABOVH I6 CORRHCT At
PLY WITM ALL CITV O NANC86 AND 9TAT6
Bl11LOIN�CON8TPt1Gi 1. , •
SIGNATUREOP
PERMITTE
AUTHORIZHO A6HNT
FEE RECEIVEI�
OCT 2 9 j964 �
FINANC�E uEPT.
APPLI�.J��IC�F FOR'PERFtff"A
BUILDING
For Office Una Only
R[C611T NO. PBqMIT NO.
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YAftDBAPPROVHD
MAIN BUILDINO
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DISTANCE
MAIN BLOG
VAR. Ji
C. U. P. SC
APPROV[D
TH8 AMOUNT BXOWI
PUPPOBH OI 68TAI
VALUATION
$ ��� X
ou��oiHo
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JO SNALL 8H LE38 TH N
(U.B.C.R80UIREMENT;
YARDBAPPROVED �
ACCESSORY BUILDING
DATE
n
0
VALUAT�ON IB FOH TH6 =
A PBRMIT F8E ONLY. p
0
IT FE8 $ � �_ �
o =
. m