HomeMy WebLinkAbout2945 NEWPORT BLVD - Building PermitsDATE
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INSPECTIONS I DATE
SUBCONTRACTOR I _ PERMITSISSUED__
OCCUPANCY
Form 210—SM-11-59 SB P
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX S17 COBTA MEBA. GLIPORNIA
For Applieant to Fill In Complefely
TYPE OR PRINT
I MAIL
COSTA MESA CALIFORNIA
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DESCRIPTION OF WORK
BUILDING' ( NO. OF
aize � ROOMS STOF
EXTERIOR WALL ROOF
COVERING COVERING
USE OF BUIL�ING AND WORK TO BE PERFORMED
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FEE RECE�VED �
FINANCE DEPT.
APPL�CATION FOR ERMIT
BUILDING
For Office Use Only
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Bu1LDINo CONBTRUGiION. VALUATION
SIGNATURE OF PERMIT FEE $ �'
� $ 600�00 I PLAN CHECK $ �
�AUTHORIZED AGENT