HomeMy WebLinkAbout447 17TH ST - Building Permitsi
28598
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 12110 COSTA MESA. CALIFORNIA 0752!
For Applicant : to Fill In Completely
4(17 TYPE OR PRINT
Is 4� I Q, 17 Th
COSTA MESA. CALIFORNIA
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ARCHITECT
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DESCRIPTION OF WORK
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I HUSSY ACKNOWUKDOZ THAT.1 HAVE READ THIS APPLICATON
AND STATE THAT THE ASOVE,I5 CORRECT AND AGREE TO COM.
PLY WITH ALL CITY ORDINANCES AND STATE NWS ttGYLATNG
SUO.DIND CONSTRUCTION.
SIGNATURE OFn�eOf A
SIGNATURE 0! +�ji��
AUTHORIZED AGENT
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NAY 17-68c 978 a 3
APPLICATION FOR PERMIT
BUILDING
For Office U» Only
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NOTE: NO RAVE OVERHANG SHALL BE LESS THAN
30- TO SIDE B REAR P.L
EAVES
ALLOWED
(U. B. C. REQUIREMENT)
YARDS APPROVED
YARDS APPROVED
MAIN BUILDING
ACCESSORY BUILDING
( FROM C/L STREET)
FRONT m
Fr.
R. BIDS rr.
Ff.
L sIDx FT.
FT.
REAR FT
FT.
DISTANCE BET.
BET. MAIN t
MAIN SLOGS.
ACCESS. BLOCS.
VM. n
DATE
C.
APPROVED/
APPROVED
�.
Ixy
ATE
SQ. FT.
THE AMOUNT SHOWN
UNDER VALUATION 10 FOR THE
PURPOSE OF ESTABLISHING A PERMIT PEE ONLY.
VALUATION
4e
PERMIT FEE
PLAN CHECK 5
4 -- 50
2
TOTAL PER 3
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