HomeMy WebLinkAbout2421 NORSE AVE - Building Permits' i.
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COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31�
COSTA MESA. CALIFORNIA
OWNER
FOR APPLICANT TO FILL IN
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COSTA MESA. CALIFORNIA
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TEL.
NO.
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ADDR SE5 OT� NO. W'�:
LEG/.L LOT
DESCaivTtON NO. BIOCK '/ TRACT �
A.P.NO. '� {�� � ()
SIZE /� [ `�� MO.OF BL�GB.
OF LOT V \ � NOW ON LOT
USE OF I
E%ISTING BLDG.
SETBACK LINE FROM � •
c[ni[n oF sine[i REAR YARD
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IGHT LEFT �Q
F—�—
R TION OF WORK
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FINA�CE DEPT.
C•t'•'i fl` r�ST4 MFSQ
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
IECEIVE'o BY �aTE nECEIVED� �TE I55 EO
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_DING
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COSTA MESA. CALIFORNIA
APPROV
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RR�CTIONS
CITY OF STA MCSA
PLar� + •
�io�rrT �rn t)G. DEPT. REG.
NEW � ALTERATION ADDITION
REPAIR MOVING DEMOLISH
BUILDIN=� � ` NO.OF �
SIZE ROOMS STORIES
E%TERIOR WALL � � ROOF '
COVERING G COVERING � �
USE OF NEW � - � T '
BUILDING �
C ar. �u 7 c�' 0��
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I HEAEBY /.CItNOWLEDGE TH�T 1 X�VE RE�D IS IIC�TION �ND
ST/�TE THAT THE �BOVE IS flRECT RND /�GA TO MPLY WITN nLl _
CITY ON�IN.�NCES �ND ST UWS REGUL�T G B pING CONSTRVP
T���' VALUATION
SIGNATURE OF
� PERMiT FEE S
PERMITTEE �
g`D �'b� �'l, a� PLAN CHEGK S
AUTHORIZED AGENT TOTAL FEE $
OWNER FRAN7FN� RTiTH M - DATE p K KR _
JOB ADDRESS �)��� Nnrgp Avpn�.n ' ' ' BUILDING PERMIT NO. �f.�'�O
GENERALCONTRACTOR G C Ce_ VALUE $ �p�7ftq�pp
1�. �� � LOT TRACT ZM PIRE ZONE ' DESCRIPTION OF WORK n,... ../ _aa ___
PLAN NO.
I�'"PECTIONS I DATE I SUBCONTRACTOR I DATE NUMBER
Finai Gas Test
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