HomeMy WebLinkAbout930 EVERGREEN PL - Building Permits�OWNER �qRTS(
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ROIIGH MEATING
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DATE
ESCRIPTION of
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COSTA MESA BUILDING-SAFETY DEPARTMENT
� P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use [nk Only
BUILDING
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BRANCH
AD�RESS
CONTRACTOR
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cra NO.
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CITV NO.
� STATE CITV
LIC. NO.
� SIZE � j Fllg � O.OF BLDCS.
0. OF LOT P',jk S/� ' ,y • NOW ON LOT
a USE OF y�
,v_', EXI5iING BLDG. V�y;$� � �
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FSepara[e permits are required for
Q electric, plumbing and heating work.
� USE OF BVILDING AND WORK TO BE PERFORMED
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0567 12/14/78 10,5D TL
FOR'STRUCTURALPERMIT "� —
DATEFiECEIVED nn�rc�issucn .
A.P. NO. / / S ' Y
BUILDING �,�Q r
ADDRE55
TftACT I^J�2'
OWNER
FIRE
ZONE
APPROVE
ZONE� / P���
VARDSAPPROVEU
MAIN BUILDING
(FROM C/L STftEET)
DISTANCE.BEL
MAIN BLDGS.
VAR. #
C.U.P. #
APPROVED �
RMIT NO.
USE OF NEW
BUILDING
BEf. MAIN
ACCESS. BL
DATE
APPROVED
� nerc �
BLOCK
I hereby acknowletlga that I have �eatl chis apP��cation antl state
that the above intormation is corract and agree to comply with
all laws regulating building constr�ction, antl I shall not employ '
any pe�son in violetion of the workman'S compensation laws of
the State of California. _ O
1 hereby cenify that I am properly licansetl as a contrector untle� SQ. FT.
tha State of California Businass and Professions Cotle, Divislon 3, THE AMOUNT SHOWN UNDER VA�UATION
Chapte� 9, antl thet such licenses a�e In tull force antl affect, o� I THE PURPOSE OF ESTABLISHING A PERMIT FEE
am exempt from the provisions ot the State of California Buzines5 VAIUATION PERMIT FEE $
and Professions Co e, Division 3, C er 9.
nn % PLAN CHECK $
S,a�et�,e o, C1.�.�vm,�,c 1 �Xa�►. , �
Perm(ttee $ �� 7AX $
Authorizad Age^t ! TOTA� PAI D $
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ORANGE COUNTY BUILDING DEPARYMENT. . 'APPLICAYION FOR PERMIT .
.. . .,-• 636 North Broadway � � � � �, �
♦ SANTA ANA, CALIFORNIA � ---
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STREET
PLOT PLAN
Show location ond distances from
property line ond between buildings.
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