HomeMy WebLinkAbout392 BAY ST - Building PermitsOWNER
ADDRESS
DATE
B[IdDING PERIVYIT NO.
GENERAL CONTRACTOR Ohri Ba lanan VALQE $ 11'�117.00
�- LOT 19 TRACT 9 FII2E ZONE 3 DESCRIPTION OF WORK Residence
TYPE
Ih..r+ECTIONB I DATE I SUBCONTRACTOR I DATE
Gas Test
RC�n
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COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31]
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
�9 �. ��4 � s' i
COSTA MESA. CALIFORNIA
MAIL
A��RE55
QTY CD�
ARCHITECT
OR ENGINEER
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�1�1ANCE DEPT.
��TY Of COSTA F1ESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
NECEIPT NO. PEqyIT NO
j j % �
ECEIVEO BY DATE RECEIVE� D�?E 1 Uy
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TEL. BUILpING % ' /� (1
NO. ADDRE55 `—' ;/� i�
LiC. COSTA MESA. CALIFORNIA
NO.
CONTRACTLO��NI� �'K� CITY NO.�
ADDRESSJGq �INWOO �1�1%E TNO �-���17
�E��� LOT C' (j
oESCeinnOv NO. �/ BLOCN TRACT 7
A:P, NO. /- S � b _ �
SIZE ^/ � �+o.oF e�ocs. i^/
OF LOT L/ NOW ON LOT 'L.
USE OF t� , /�r c )
E%ISTING BLDG„/�/�'V�F� �DU S� i � /1 �l
$ETBPCN LINE FROM �
CErviEn Or einEEi �O REAR YARD '
SIDE YAR� RIGHT d�/ LEFT ,J- /
DESCRIPTION OF WORK
NEW ALTERATION AODITION
REPAIR MOVING DEMOLISH
BUILDING�O�X ��/�� ROOMS � STORIES �
SIZE (c
E%TERIOR WALL SIUGCC� GO�VERING `-UMPO /.'��/
iti`�,f-d_-' F9�9ic y�� 7, o� �v c�
1:11
0
� (/YAlL Q DATE
CORRECTIONS
ST.
1�71
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I NEREBV ACI(NOWLEOGE TN1T 1 X.�VE FEAO TNIS FPPLICATIOI'I �fip /lU
ST�TE TH�T TME �BOVE IS COflXECT �NO AGREE TO COMPLV WITM nL� Durpose of establishing a permit fee only. �
CITY OflpIN�NCEB �NO ST L�WS NEGVL�TIN BUILDING CONSTNUC�
T�oN. , VALU4TION l
SIGNATURE OF PERMIT FEE S V
PERMITTEE '� ��
g //l //'%� PLAN CHECK b � �
AUTHOR2ED AGENT
/ TOTAL FEE S �� `��
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