HomeMy WebLinkAbout417 BAY ST - Building PermitsJOB ADDRESS '+l�( tsay SLre�
GENERAL CONTRACTOR oWner
DATE
OCCUPANCY
Form 21Q—SM-11-59 5-B P
SEP 1 4 1960
DATE
DESCRIPTION OF NOBB
SUBCONTRACTOR
,.2228
COSTA ME5A BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MHBA. CALIFORNIA
For Applicanf +o Fill In Complefely
TYPE OR PRINT �
COSTA MESA. CALIFORNIA
OWNER W. a r r�
MAIL 1
ADDRE55 �y � w^L FF
an G U 1 1 �..J/= No.
ARGHITECT TEL.
■ STATE
USE OF
EXI6TING BL
SETBACK LINB
T6L.
NO. OP BLO09.
DE5CRIPTION OF WORK
BUILDING NO. OF
SIZE ROOMS
EXTERIOR WALL ROOF�
COVERING ' COVEF
USE OP BUILDINC AND WORK TO E
FEE RECEIVEi�
� ��p1���� �d
APPLICATIOI���CI��R a ���
BU��I��'s
For Office Use Only
HECEIPT ND. _ PHj NO �
BY
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COSTA MESA. CALIFORNIA
FIRE
ZONING
NO. OP Q I use ov N
PLANe Bl1�LDINO
LE6AL
' . (CENTEN LINC BTJ
s
i MER¢BY ACNNOW��Oe THAT 1 HAVE READ TXIB APPLIGT�ON THE qMOUM BXOWN UN�ER VALIIATION 16 POR TH!
AND BTATE THAT TME ABOVE I8 CORPECT AND AGRE¢ TO COM- pURP096 OF E9TAOLI6HIN0 � PERN�T FEH ONLY.
PLV WITH �LL CIT1' OppINANCE9 AND HTATB LAWB pEOULATING
em�.nlNo CONeTRu o . �� VALUA710N y
81GNATURE OF PERMIT FEE $ 0�
PERMITTE �"� � e
$ �O�'PLAN CHECK � ^
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AUTHORIZE� AdENT 9 �� o
TOTAL FEE d- LL