HomeMy WebLinkAbout309 OGLE ST - Building PermitsOWN�R DII�GADO. AI'thtu' R. DATE H-21-fi2 �
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CbSTA MESA BUILDING-SAFETY DEPARTMENT
P. O• BOX 9f7 C08TA MEBA. CALIFORNIA
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TYPE OR PRINT
COSTA MESA CALIFORNIA
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DESCRIPTION OF WORK
BUILDING
SIZE
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USE OF BUILDING AND
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ROOF
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FEE RE.CEIVED
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fINANCE DEPT. b`�
APPCfCA1TO�I�SR pER1�AIT
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1 HEREBY ALKNOWLE068 THAT 1 V6 pGD i1118 MPLIGTION }ryC AMOUNT BXOWN UNDHR VALUATION 19 FOR TH6
ANU 6TATE THAT n�e ABOVH 1 OPHHLT ANp AGREe TO COY-
PYPP088 Op ¢BTABLIBHING A PEftMIT FEE ONLY.
PLY WITiI ALL CITY INANC AND 8fAT8 LAW9 REOULAT�NO
Bu1Lo1Na cONBTp oN. VALUATION
BIGNATURE OF � PERMIT FEE $�� O O
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AUTHORIZED �1GENT �� �, �O
TOTAL FEE
J013 ADDRESS
ECTIONS lN/ I DATE
OCCUPANCY
Form 21P—SM-17-59 SB P
BUILDING PERAIIT N0.
SUBCONTRACTOR I PERMITSISSUED
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31] GOSTA MESA. CALIFORNIA
fOR APPL/CANT TO F/[L /N COMPLETELY
TYPE OR PRINT
BUILDING • O � _
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C ' MESA. CALIFORNIA
OWNER
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NOW ON LOT
USE OF
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DESCRIPTION OF WORK
BUILDINC� /'� TV -pNw�NO.OF
SIZE �F/O'QIiZ�.inLROOMS STORIES I
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APPLIC$jTICQy 6�I� �A� IT
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BY DATE /
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BY III f� s� f DATE /�—�.�
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I HEREBY ACKNOWLEDGE THNT I HRVE NERO THIS APPLICATION
RND STFTE THAT THE ABOVE IS CONFECT AND RGFEE TO COM- TH6 AMOUNT BHOWN UNOER VALUATION IS FOR THE
PLY WITH RLL CITY OFOINTNCE6 RNO STATE LAWS NEGULATING � PUAPOBE OF ESTABLI6NING A PERMIT FEE ONLY.
BIIILDING CONSTR CTION. � VALUATION
SIGNATURE /Y��� PERMITFEE $ 3 �`
PERMITTEE�����I �^'��� / l�f/ ��Y /
5 � PLAN CHEGK $ �C- '—
AUTHORIZED AGENT TOTAL FEE S /
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