HomeMy WebLinkAbout275 FISCHER AVE - Building Permits PAID
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA.CALIFORNIA 92626
For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT
RECEIV DATE ECEIVE DATE ISSU D
BUILDING /O-'7-7y ) O -U,
7/ADDRESS s�7 55ae f i e
/' u1 // PERMIT NO.
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OWNER /yltlp/Grn uAW Lw---c L u A.P.NO7�7 03.3-err 3 11 i 2 B
MAIL �+ BUILDING /�y-�
ADDRESS .. &-. •L ADDRESS /5r%\ / �✓PJ'
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LU W Crack_ ���. NEL. TRACTr9 LOT / A BLOCK
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CONSTRUCTION rl^ NEW ADD ALTER REPAIR MOVING DEMOLISH
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Q OR NGINEER ` NO. I /, "/
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Wa.C: ADDRESS /'� ...{- ZONE ,,syr�J TYPE GROUP
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J O CONTRACTOR Clock - 90(IS f CO APPROVED / DATE!(��`7—Zj
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. ADDRESS / 7Oq y POI/Main
W W TEL. ""�� ZONE NO.OF USE OF NEWiii /1
Z 1_ CITY Z2✓/,s/a_ . 1, NO.97'-Von PLANS BUILDING/u // �-)^/1�_)
STATE z� CITY !! // YARDS APPROVED YARDS APPROVED Al
N C• : LIC.NO.Pr- � 73 -7 gb LIC.NO. /67 $ MAIN BUILDING ACCESSORY BUILDING
D 512E NO.OF SLOGS. (FROM C/L STREET)
OF LOT NOW ON LOT FRONT FT. f/ t J. FT.
USE OF /
EXISTING BLDG. R SIDE I ! FT.
I- SIZE OF NO.OF /1
ZQZ NEW BLDG. ROOMS STORIES L,SIDE FT. / FT.EXTERIOR WALL ROOF _
C1
_ COVERING COVERING REAR I FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED BET. BET.MAIN&
CL •
a MAIN BLDGS. ACCESS BLOCS.
A
o /,it/ �j' 2P# DATE
S�A cC o2E � o�r C.U. APPROVED
I"' APPROVED A / Ter -/7"--7/
O STATE
U I hereby acknowledge that I have read this application and state
7 that the above information is correct and agree to comply with O
cc all laws regulating building construction, and I shell not employ /
any person in violation of the workmen's compensation laws Ot
y the State of California. TAX m
? I hereby certify that I am properly licensed as a contractor under SO. FT. GW
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business C
end Professions Code Division 3, hooter VALUATION CQI� r
PERMIT FEE $ J
Signature of, ^, m
Permittees/G/ •/ul $ PLAN CHECK $ E
Authorized Agent (/ r A• Cc:" o
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` TOTAL FEE $