HomeMy WebLinkAbout1023 BAKER ST - Building Permitsi
058
COSTA MESA BUILDING DEPARTMENT
P. O. BOX 317
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING C
ADDRESS
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MANCE OEPT.
APPLICATION FOR PERMIT
BUILDING
COSTA MESA. CALIFORNIA
FOR OFFICE USE ONLY
RECEIPT NO.
PES.IT NO.
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COSTA MESA. CALIFORNIA
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NO, OF
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TEL. 16.
APPROVED
ADDRESS
NO. .�•� p
BY DATE
LEGAL
CORRECTIONS
DESCRIPTION
DESCRIPTION
NO.
BLOCK 14TRAC
A.P. NO.
_
W
SIZE �� a Y `
NO. OF SLOGS,
OF LOT ,
NO ON LOT
•'�
USE OF
COSTA MESA
EXISTING BLDG.
SET B.CN LINE FROM O `
�' I
1.p�
SUWE O BLDG. DEPT, REG.
CENTER OF STREET REAR YARD 17
SIDE YARD RIGHT L LEFT
DESCRIPTION OF WORK
PIAN TECH.
NE
ALTERATION
ADDITION
REPAIR
MOVING
DEMOLISH
BUILDING < `/ O.OF
SIZE l� dl/ ROOMS `(, STORIES
EXTERIOR p
ROOF @
.OVER/l.
COVERING
USE OF NEW <"4
Ll - ZL
BUILDING (�
1 HEREBYACKNOWLEDGE THAT I RAVE READ THIS APPLICATIONASTATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH
✓/_TION.
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CITY ORDINANCES ANO STATE LAWS REGULATING BUILDING CONSTR
TON�Ai'PRO
SIGNATURE OFPERMITTEE
4 j•ay.
PLAN CHECK S
_5
AUTHORIZED AGENT
TOTAL FEES �j J
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