HomeMy WebLinkAbout2937 NEWPORT BLVD - Building PermitsJOB ADDRESS 29�7
GENERAL CONTRACTOR
DATE
OCCUPANCY
form Y10-5M-7139 SB P
FIRE
SUBCONTRACTOR
VALUE
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COHiA ME9A. CALIRORNIA
For Applicanf fo Fill In Complefely
TYPE OR PRINT
BUII.D W G
ADDRESS Z E S V
COSTA MESA. CALIFORNIA
TEL.
61ZE - NO. oP Btnae.
OF LOT 2OO P. ZZOO NOW oN LOT
use oF
EXISTING HLDG.
ssrewcK uHe Frsoen
DESCRIPTION OF WORK
I X II s� TwasT�nu I II ADDITIC
� NO. OF
'EXTERIOR WALL I ROOF
COVERWG COVERI�
� USE OF BUILDING AND WORK TO BE
1 HEPEBY �CKNOWLEDGE TNAT I HAVE RGD TH18 APPLIGTION
AND BTAT¢ THAT THE ABOVE IB COR AND AGREE TO COM-
PLY WITH ALL gDINANCE9 AND LAWB RE6ULATINO
BUILOINO CON UCTIdNj j��\ .
SIGNATURE OF � / �-! . ��(�
PERMITTEF " �� .
AUTHORIZED AGENT
FEE RECEIVED
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FINA CE DEPT.
C1TY Of COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
COSTA
PIRE
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ABYPROVED �
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LE6AL
APPROVED
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DATE y�/ "� "
ING
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BUIIDINO J[� �'
THE AMOUM BXOWN UNDER VqLUAT�ON IB PON THE
PUIiP09E OP, 69TABLIBHIN6 A PEHMIT FE ONLY.
VALUATION �J
PERMIT FEE $ � �
$ tJVO�OO pLAN CHECK $