HomeMy WebLinkAbout2248 NEWPORT BLVD - Building Permits34829
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
,AVA-Afar Applicant to Fill in Completely
17-77PC-1*",-"00150.3*
****16.57
'ATION FOR BUILDING PERMIT
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USE OF BUILDING AND WORK TO BE PERFORMED
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hereby acknowledge that I have read this application and state
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that the above information is correct and agree to comply with
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all laws regulating building construction, and I shall not employ
any person In violation of the workman's compensation laws of
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Me State of California.
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I hereby certify that I am properly licensed as a contractor under
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the State of California Business and Professions Cotle, Division 3,
THE AMOUNT SH
Chapter 9, and that such licenses are in full force and effect, or I
THE PURPOSE OF I
em exempt from Me provisions of the State of California Business
and Professions Code, Division 3, Chapter 9.
VALUATION
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Permittee /(i/Jr4l /J Y,, t.w"RC.�
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Authorized Agent
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VDER VALUATION IS FOR
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