HomeMy WebLinkAbout409 FORD RD - Building PermitsQWNER W. G. LONG C0. � DATE 6_�_F,1
JOB ADDRESS j�p9_A FoPd Rd_ BUILDING PERMIT N0. �Kq(�
GENERAL CONTRACTOR Owner VALUE S 10 676 00
A�P. No. LOT �GYl 'S THACT I�i71E3 FIR.E ZONE DESCRiPTiON OF WORK Si nol n�.eo_ �
"'SPECTIONS
OCCUPANCY
Form 210-5M-11�59 5-8 P
DATE
SUBCONTRACTOR
HOLD FOR SPECIAL REQUIREMENTS
JOB ADDRESS ,
"'SPECTIONS
OCCUPANCY
Form 410—SM-11-59 S-e P
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DATE
SUBCONTRACTOR
x�Qui►�MENrs
BUILDING PERMIT N0. '
CYPE V ZONE R-1!
PERMITS ISSUED
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�OSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BO7� 817 COBTA ME9A. CALIPORNIA
For Applicanf fo Fill In Compleiely
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FINANCE DEPT.
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APPLICAi70N FdR PERMIT
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For Offtce Use �nly
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�OSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BO% 917 COSTA M88A. CALIPOflN1A
For Applitanf fo Fill In Complefely
TYPE OR PRINT
BUILDING Q p � FORL �D
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C05TA MESA CALIFORNIA
OWNER /� G� LO��
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APPLICATION FOR PERMIT �
BUILDING
For Offlee Use Only �
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\THE AMOYNT BX UNOeR AL ATION IB POH TNE
CUHPOB 6TABL19HIN0 • PERMIT FEE ONLY.
VALIJATION �
PERMIT FEE $ � a�
S� f/��� PLAN CHECK �.�0:5 O
TOTAL FEE $ � �.'-% �