HomeMy WebLinkAbout2871 ANZA LN - Building Permitst
— _ _ _ ' ' " _ _ '
CiTY'i)F coSTa�ivt �` C�T�RUCTION PERMIT
' Proiect�Address �' ( ' Z�. ��c� '�. '
1 ,. � �
�APplicant'sMailingAddress � � ���� �''
Owner's Name �� �` � Y—�N �'U R L�phone(. ,�1"/y.5 �_�/
Address ��-'� �� `-� �
Arch/Eng. � License No.
Address �
Conttac[or's Name �'V Phone �
Addresslm'I' �1 ��� w P �+
City License No. �� -3 � �' � �
LICENSED CONTRACTOR DECLARATION'
1 hereby atfirm that I am licensetl untler provisions o/ Charte� 9(commencin9
with section ]000) of Division 3 ot the Bu5ine55 antl Professions Cotle, antl
my license is in full Pi �ce a �ct. ' ' . . �
Ucense ,C,'lzs'sI L�_ ( - �'� L i�Vo
Oate� Signatur� ,
WORKER COMPENSATION DECLARATION .
`?reby atfi�m that I nave a certificate of consent to self-i re or a certificate
Norkers' Compensation Insurance, o� a certifietl coOY thereoi ($ection
0, Lab. CJ ' . - ,
Policy No. i � Company .
BCertifietl copy is hereby furnishetl. � �
Certifi¢tl copy i5 (iletl with the city Builtlinq Division. ,
Date Appticant � �
EXEMPTION'FROM WORKERS' COMPENSATION DECLARATION
(This sec[ion neetl no[ b¢ cOmpletetl it the permit is for one nuntlretl ($ 00) or
less). ` . �
I certify that in the performance of the work hich thiyyy���PPPe �t is i5 uetl, I
shall not employ any person in any manne e- be�Wne s �ect t the
WorkerSl�Loj�ppnSdtlon Laws of Calilornia �`
Date �v/ � 7 Si9nature
NOTICE: If, afte� making this tleclaration, you shoultl beco e subject to the
Workers' Compen5ation provi5ion5 ot the Labo� Cotle, you ust (orthwith
comply witn 5uch,0�ovlsion5 or tlti5 permit shall be tl metl revoketl.
CONSTRUCTION LENDING AGENCY
I hereby af(irm that there is a consiruction lentling agency Por tne pertormance
ot the work tor which this permit�is issuetl (Section 3097 Civ. C.)
Lentler's Name t � -
.Lentler'S.AGG�e55. ��-
OWNE0. BUILDER OECLARATION • �
I hereby affirm that;l�am exempt from the Contractor's License L.aw for the
following reason (Section 7031.5 Business antl Professional Cotle: Any�city or
county which requires�a'permit to const�uct, alte�, improve, tlemoli5h or repal�
any structure, prior do�its issuance, alm requires tne applicant for such permit
to file a signetl slatement that he/she is licensetl pursuant to the provisions of
tne Contrac[or's Licenre law (Chapter 9(commencing with Sectlan �000) of
nivision 3 of the Bvsiness antl Protession5 Cotle) or that he/she is exempt
�refwm�antl the �asis for the allegetl exemption. Any violation of Section '
I3.5 by any applicant for a permit subjects the applicant to a civil
�alty,oi�not more than five huntlretl tlollars,($500).
L� I, as owner oi the oroperry or my employees with wages as their soie
' wmpensation, will tlo the work, antl the structure is mt intentletl or of(eretl
for sale (Section- ]044, Business antl Professional Cotle: The Contra<tor'S
License Law tloes not appty to an owner o! a property who builtls o� impwves
thereon, aud who tloes� such work'nimseli/ncrself or tnrough his or her own
emo�oyees, provitletl that such improvements are not Intentletl or offerea for
sdle. If, howeve�, tne builtling o� imp�ovement i5 Soltl within one year of com-
ple[ion, Ihe owner will have the burtlen Of proving he/she ditl mt builtl or im-
ptOve for tM1e�purpose oE sale). � �
❑, I, as owner of �the property, am exclusivery contracting with licensetl con-
tractorsto conSV uct the project (Sec[ion 7044, Business antl Professions Cotle:
The Contractor's License Law tloes not appty to an•owner oi property who
� builas or Improves thereon, antl who contracts for such orojects with a con-
tractor(s) bcense oursuant to the ConGactor's License Law). I am aware that
proof o( their Worker'S Compensation inDurance zhoultl be provitletl to me.
❑ 1 am exempt untler Section B. & P. C. for this reason ,
Date OwneR '
�I hereby certify fha '1 have reatl is appli tion antJ�state that the above -
' information is cp+ agree t c ply wit all city antl county ortlinances
� antl',state laws re1'C uil n9 nstructi n, antl hereby authorize repre-
sentatives ot this t r u o [he ove-mentionetl ppproperty for
in5pection purpo �j� / L
� Si nature Oat �� �
Olicant to fill in all spaees except IM1ose within �eavy bo�Eer Iines antl sign all appropriate tleclaraUons.
PERMI O� TRACTNO. 'LOT,NO. � UNITNO. ,
S
TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR�
❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' � A P #
DESCRIPTION OF WORK/USE OF BLDG � '�-�� � �
� S Main Buildir
TYPEOFPERMIT GRADING :FOUNDATION • STRUCTURAL . T Front
,❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ M HANICAL B Reaf
❑ OTHER, � ,�� ' A
PROJECT DESCRIP710N so. FT. ��'S�d oCCUaAN���yyyC---v��1_������...���... $$$ � C� Right
�CONSTRUCTIONTVPE � � � VACUATION$� g Left
ZONE GRA�ING CU. VDS. ACRE p�ng. Ref. #
Remarks: � � ' Planning Notes:;
3ar Sink '
3ackflow Preventer -
dackflow Irrigation � �
Bathtubs ' -
Clarifiers ` � �,
Dishuvasher -
Drinking Fountains .
Floor Orains � ' '
FloorSinks �
Gas Service Outlets
IntefCeptofs �
Kitchen Sink .
Lavatories � �
P-Trap �
Roof D�ains
Reinspectian Fee $15
Boiler �
Duct - Under Ground .
Duct-Structural ,
Duct - Ventilating �
Exhaust System' ❑ Multiple ❑
FirepVFact: BIL ICBO #
Heating System &.Ducting
❑0700,000 BTU 0100,0006T'
9 e
IDrivers' Licenie or 55 � �% " I Rainspection Fee $15
,I OB65-46, rev. 10/84 Whi[e - Builtling; Canary - qpplicani; Pink - Accaunting; Goltlenrotl - Assessor
PLUMBING . '
' � Showers , ' , -
Sewer Cap ' �
Sewer Connection � . �
Solar Coilectors-. ' � - �
Solar Pipin9
�Solar Tank �
�Swimming Pool vw/Spa
.Urinal .
�Water Closei �
�Water Heater
Water Service � - � - `
Auto-Wash ' �
Isue Fee
Hood or Typel ❑
Canopy Typell ❑
aefrigeretion System
❑0-700,OOOBTU ❑100,000
System Repair/Alteratiom _
Fire Dampers '
Registers � � '
Issue Fae
$ 3
0
$ 3
'5236 10%15%86
' ! � l
'" ' ' � . ' _ . . . Zone
3: � Accessory Building:'
�
. .Parkino�Reo./Provided .
i �
Automatic Washer �
Construction Pole Sub.
Cooking,Unit.
Dishwasher .- �
. � �� ELECTRICAL
� � -� Trans'
Meter
Dryers ❑Gas ❑Electric '
Fan
Fixtures '
Device Boxes �
Outlets ' ,
Switches - � -
Garbage Disposal
Generator �0-5 KW �5
i
15 KW
, 25.50 'TL
� ,
�
� � FEES
mer ❑ 15-50 KW � �
❑.50+KW ,
�up to 100 amps _
]over100amos '
Sub Panel , ; '
' Momrs OO-1 NP, �1 �- 8
InaSolar �9-15 HP �16
Microwave
� Pole Light .
Range � t
" Sign ' ' i t
Standing Sections �
Trash Compacmr
m
Z
O
N
1
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G
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Q
M
T
S
1
� Reinspection Fee - $15 Issue Fee - � ' $ 3
DEVELOPMENTSERVICESREQUIREMENTS: ,� � , • .
Zoning Approved By ' � Date
Buildinq Approved By � • ' Date �
Applifation Issued By � � � Dat �
• BUILDING PERMIT $� SUM�R�O�ES�IP i $ i S� _
PLAN CHECK �� $ ' � •.PERMIT- , .
� PLUMBING � $ � ISSUANCE $ ,
�' PIAN CHECK 25%' $ ENERGV P.C.: $
ELECTRICAL $ . GRADING $ ;•
. PLANCHECK 50%_$ � ' ' 'MICROFILM . $ � � -
MECHANICAL $ � TOTAL FEE $ ����
� - PLAN CHECK -Z5% $ � � , � � '
�. `l
CONSTRUCTION AND PLANNING • � POOL & SPA ,_ •
APPROVALS Permit# Oate Inspector ' qppROVALS Permit# Date Inspector
1. Temporary Electrical' Service orvPole � � 52. Pool & Equipment Location ' ,
2. Soil Pipe-Undrgrnd. � ' , 53. Steel Reinforcement , '
3. Electrical Conduit Utility-Undrgmd. ' . 54. Forms � � �' �
4. Electrical Conduit-Undrgrnd. . 55. Electrical Bonding � '= �,
5. Steel�Reinforcement � � . ' 56. RoOgh Plumbing & Pressure'Test � - �
6. Electrical UFER Grnd. � � . 57. APPROVAL TO COVER-GUNITE� � „�
7. Footings � , � 58. Elecfrical Conduit-Undrgrnd. 'r
8. Foundation �� � � ; 59. Gas Pipe, 0 Undrgmd., Test - �
. 9. Water Pipe-Undrgrnd. � _ ' 60. Backwash'Lines, P-Trap, O Undrgrnd. '
10. Structural Floor System . 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection ' 62. Backwash & Receptor-Final
12. Sewer Cap - , � , 63. Heater & VznbFinal �
13. Roof Drains - 64. Plumbing System - Final �
14. Rough Plumbing 65. Electrical-Final . '
15. Rough Electrical-Conduit � 66. Solar System-Final �
16. Rough Electric Wiring - 67. Fencing & Access Approyal �
17. Rough Wiring�Sign � � ' 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL -
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � �
20.��RoughFacmryFireplace - � APPROVALS Permit# _ .' ��
21. Ducts, in Structure � . 70. Underground Hydro �
22. Oucts, Ventilating ' 71. Product Piping O Gas ❑ Oil � '
23. Gas Pipe-Rough & Test . � , 72. Underground Flush , . '
24. Roof Framing , .' ' 73. Undergrnd. Storage Tank O Gas ❑ Oil -
25. Roof Sheathing ' 74. Overhead Hydro , �
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical '
27. Frame and Flashing � � - ' 76. Dry Standpipe ' � ,
28., Lathing & Siding • . 77. FIXED SYSTEM FINAL � � .
29. Insulation ' - 78. FIRE PREV. FINAL . •
30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT .
31. Plaster Brown Coat - � 79: FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED �
33. Final Electric � ' Notes: �
34. Final Heating & Air Conditioning � ' � ' ' . . � '
^ ,
35. Final Gas Pipe-Test � . ' � , �'
36. Hood or Canopy ,
>
37.�Final Factory Fireplace � . ' ' � •
` 38. Final Plumbing - � � . .
39. Water Service-Final .. '� � -
40. Gas Service-Final �� ,
41. Solar.DomesticFinal � ' � � �
._ , ,
42. Backflow Preventer - . • _ - '
43. Backflow Irrigation � • - . � , . •
44. Landscape Irrigation System � � - , ' ` - �
45. Sound 'Attenuation • ' _ ' .
�� ,
46. Handicap Regulations � � ' ' ' �
ia: �
47. FINAL STRUCTURE & BUILDING a 1,: , � -
��i t
' 46. Special�Requirements Completed . • � . � �
49. Electric Release to Edison � - . � � . � �
� {
50.'Gas Release to Southem California Gas Co ' �� �
'51.,CERTIFICATE OF OCCUPANCY , , � "; �
,o. Date . - iv.•'
� 2
�a sQ
��� �
��"� �°i
�
TESTING
March 1, 1974
ininq Laboratories �f ��«t�===-� ��=�f��=-=�u- ��_��
P.O. BOX 47 . 3310 AIR?O.RT WAY . LO�lG B6ACH, CALIF. 90001 .�213� </b�1JSS . I��f� OJE-[!tlb .�/ia� a[n-Oae[
50.,1NG� O-RCFS:
i L��D No�rh H�.o.� 5•�.e� Nc� Devmcv.e Ln��q
Se��e M1�e, Cellin��fa vUcl ���� ��0"� A3 Fedo^do M... &o. Bo• ��
t' r—�"'1 4'.
pi•l s�i.�o.s a ii�.1.•_ '-��s eaa�n. ceui. voem I:u� e�e.siee
�.�4
` �.�.",
Ezamination: SC%4-�29
COMPRESSION Tf5T5 ON GUNITE CYLINDERS
Mr. Errol F. Heesch
12921 Aspenwood Lane
Garden Grove, Californta 92640
PR01ECr Swirtmiing Pool for RAY STANDIFORD
ADDRESS 2781 Anza, Costa Mesa
SAMPIE FROM GU� I LE $W I119i1 I f19 POOI
ARCH11EC1
ENGINEEV
MIX
DATE CAST .
DATE TESTED
CYIINDER NO.
COMPRESSION . � � '
TOTAL�� LOAD, 185.
POUNDS VER SQ. IN.
CYLINDER SIZE:
COMPIIANCE
CYIINDERS
4-)�2:'YO 1
2-21')4
2-28-74 j
L
COHi0.4CtOA
Swan Pools
SUBCUNYRAQOR
Enterprise Gunite
SPECIFIED
STRENGTH
CYIINDER SIZE
2-28-74
m
7-Day 7-Day
80,500 79,000
2.522 2,681
E-3/8" x 12-3/4" 6-i/8" x 12-1/2"
7-Day test complies with specifications
MADF 9Y
msraieuriow:
E, . Heesch - 2
65ta Mesa Building Dept.
Enterprise Gunite Co.
DEIIVEREO BY
E. F. Heesch
2,OOO.p51
2-28-74
I11 ' IV,V,VI"HOLDS"
7.-Day. .
69;000.
2,160
6-3/8" x 12-i/2"
0.ECFIVEO ON
2-22-74
�3UILDING SAFETY DEPT.
1ii„t� `t 171't
a. <.+':" �w. -.�-„� . " "'�_�..�..`�.. ,. .,....
3 .. ,
..� w� �, s._i s. e� :��o ,. .r r.o^�• or... .. .� ... o• �. ���•s _..n�,,...orv .o� �e . ov o, ou� uruoArs mr+c�vsio�+s o= r.
� .�s =es . .r, ..r4 . �r.r..,e.. . . .., .,� �.. .�....�,,. ... ..,,,�•. �..r r�., ;o e:�r�.-s ,.e voeue .no o�4sE�ves
_ . = ���� ;
'�:" °� 'R_:t�r.
COSTA MESA BUILDINC-r-SAFETY DEPARTMENT
P. O. BOX 817 CO6TA ME6A. CALIFORNIA
For Applieanf fo Fill In Compleiely
TYPE OR PRINT
■ STATE
COSTA MESA. CALIFORNIA
Loti87 Tract 4204F� ��CEIVED
�,J SEP 11 }96f
• FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Oniy
NECEIPT NO. I PERMIT NO.
/ti i X�i7-vl i �r.r
Riole BUILDING
34 Q ADDRESS
OT7.012 COSTA MESA. CALIFORNIA
FIRE
ZONE TYPE V GROUP
APPROVED
BY DATE
ZONING
ZONE/'� 1 NO. OF /'� USE OF NEW
fl/ r`"� PLAN9 // 6UILDING ���
oR-3-4220 , LEGAL
oescx
I NO. OF BLD66..����
EXISTING BLOG. ROne qppROVED
C8M6AR OP BTiIE iM 41 � P1LL5 REAR YARD 22 � «NTEP L�NE 9T.)� �
FRONi
BIDE YARD I LEFT S� I RIGHT S� R. SIDE S
DESCRIPTION OF WORK L. SIOE S
NEW I X II ALTERATION I II ADDITION I REAR Z Z �
___.._ I' II _._....._ I II __.._.._.. I APPROVED i./i
eo�NG49'x50'6" aoc
fER1�R WALLSCUCCO I RO
BE
---LivinQ Area
Covered Porch etc.' 77 S F
i HEREBV ACKNOWLEDOE TXAT I HAVE READ TXIB APPLIWTION TMe AMOUNT BHOWN UNOER VALl1ATiON IB FOR THE
AND 6TAT6 THAT THE A90VE IB GORREGT ANo AGREE TO COM-
PURPOBE OF EBTABLIBHING A PERM�T FEE ONLY.
PLY WITH ALL CIiY ORDINANCEB AN� BTATE tAWB RBGULATINO
BUILDINo CON9T1iUrnON. VALUATION
SIGNATURE OF PERMIT FEE $ .7 �"�
PERMITfE ment Co `7 n
B}r � $ 1�#,246.00 PLAN CHECK $ // � £
AUTHORIZED AGE TOTAL FEE SL.00 p
4
�
J � � "� �q,�j �
� :.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 9262fi
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For Applicant to Fill in Completely
BUILDING �J(J�'7/ i//��/� L ./
ADDRESS LU � fi 1C�
O W N E R �A�/ 5���(iD� �—L,v.
MAIL ' `.
CITV
BRANCH
AODRESS
ARCHITECT
PAIC �,Z,�.�
�Fg i�-�u��;��00 4��•� 39.50
TION FOR BUILDING PERMIT
DATERECEIVED ppT��SUi
� �
A.P. NO. I �I �SG 3�.�0
BUILDING � O�//
ADDRESS /j /
CONTRACTOR �J1r/�/^�/4�-��
ADDRESS ��3f ��G-�D
CITK4f��—�f�y���i NOLN7l�
STATE CIT V
LIC. NO. Z1>' j/Y1'U LIC. NO.
SIZE I NO. OF BLDGS.
OF LOT - NOW ON LOT
USE OF
EXISfING BLDG.
SIZE OP NO. OF
NEW BLDG. ROOMS STORIE:
EXTERIOR WALL ROOF
COVERING COVERING
USE OF BUILOING AND WOfiK TO P�E$ERFORMED
I hereby acknowletlge that I have reatl this aOP���ation antl state
ffiat ffie above intormation is correct and agr¢e tD comply with
all laws regulating builtling consttuction, and I shall not employ
any person in violation ot the workman's compensation laws of
the State ot California.
1 hereby certity that I am properly lic¢nsed as a contractor untler
the Stace of California Business antl P�ofessions Code, Divisicn 3,
Chapter 9, antl that such licenses are in full force and etiect, or I
am ezempt trom ttie provisions of the Stete of Californla Business
antl Professions Cocie, �ivision 3, Chapter 9.
Sipnature of � j
Permittee �
Auffiorized Agant ��
VALUE �
¢
�NE NO.OF USE OF NEW
% —� PLANS � BUILDING
VARDSAPPFOVED VARDS'AF
MAIN BUILDING ACCESSOR'
ROMGLSTREET) ___
DI5TANCE BET
MAIN B�DGS.
VAR. #
7 FT.
7�
// FT.
BET. MAIN &
ACCESS. BLOGS.
DATE
APPROVED
...« � —��— %
THE AMOUNT SHOWN UNDEF VA'CHATION IS FOR
THE PURPOSE OF E5TABLISHING A PERMIT FEE ONLV:
VALVATION w / �
TOTAL FEE $
e
0
i
¢
m
N
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LL
OWNER STANIFORD, RAY DATE 2-11-74
JOB ADDRESS 71 Anza Lane BUILDING PERMIT N0.
TRACT
Pool Location
Forms
Main Drein _
Steel Reinforce
Elec. Bond _
[�7
SUBCONTRACTOR
Approval to Cover � —' '�"��`" ��� v��� �`-"
Underground Electric � �
Gas Piping Test �j .YO� " �Plumbing
FilteringSystem Lines /1�/� ��22- `� -��-
Backwash Lines and Recep. � �Z Z'
Electrical final
�r and Vent Final _
Filter System Fina�
Backwash and Recep. Final
Fencinu Final
_ �
�-434C
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILOING _ _ _ . . , �
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OWNEP
MAIL
CITV COSjLF�
CONSTFiUCTION
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vaio 5.56
JUL 18-77cMSF001864� *****
APPLICATION FOR STRUCTURAL PERMIT
� A.P. NO. I �
BUILDING ♦
ADDflESS
TEL. TRACT
No. Q7 i -J�'FS
BRANCH N��
ADDRESS N /�
AFCHITECT ., i„ TEL.
CONTRACTOR /�(f�/fj�/��/.� ��!y(�(/�T
ADDFE55 (`/ / jF
TEL.
GTY N�/k� NO.
STATE CITY
LI4 NO. r/ �/�' LIC. NO.
SIZE I NO. OF BLDGS.
OF LOT NOW ON lOT
USE OF
EXISTING B�DG.
Separate permits are required for �
electric, plumbing and heating work.
VSE OF BUILDING AND WORK TO BE PERFORME�
OWNER
FIRE
ZONE
APPROVED
NO. OF
- a..l PLAf�S
YAROS APPfiOVED
D�
L SIDE ''
r
REAR /O �
DISTANCE BET.
MAIN BLDGS.
VAR. #
O YtNMIT NO.
9Nz � N
LOT BLOCK
�q/�,D/�D/��
VALUE A d
�ATE /�7X�
E OF NEW����
ILDING
VAADS APPROVED
.CCESSORV BUILDING
BET. MAIN &
1 hereby acknowladge that I have read this application antl state �
that the above information �s correct ana agree to comply with �
all laws regulating builtlin8 construction, antl I shall not employ �
any pe�son in violation of the workman's compensation laws ot :
the Stata of California. '
I hereby cartify that I am prope�ly IicenseA as a contractor untler
SQ. FT. N
.tha Stata of Calitornia Busiryess antl Professions Cotla, Division 3, THE AMOUNT SHOWN UNDER VAIUATION IS FOR ro
Chapter 9, and that such licen5as ere in full force antl effact, or 1 THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLV: �
am exempt from the provisions of tha Staie of Californta Business a
antl Professions Cotle, Oivi570n 3, Chaptar 9.
VALUATION PERMIT FEE S � O N
m
///��� QO pLAN CHECK $ �— �
Signatura of�� ,^ /i �-�� /. / i �oo LL
Permlttee ^^YLv fC%�Cti•�/G�02/C-. $ TAX $ O
� E
U
AuthorizetlABent � TOTALPAID S 5 SO
_____ � � �
OWNER
JOB AC
n� .rn
GAS
� � PROP. SWR. LI�
�15PRINKLING SV:
pppMISCELLANEOU'
�ROUGH NEATING
TEMPORAFV SEI
UNDERGROUN� [
ROUGM WIRING
LATXING — IN � �
P 'R. BROWN C
5 URAL, FINAI
CON.
R CON�ITIONING'
POWER
DATE
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SUBCONTRACTOR