HomeMy WebLinkAbout625 CENTER ST - Building PermitsX2594
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
TYPE
/O,R PRINT
BUILDING
ADDRESS
COSTA MESA. CALIFORNIA
FES RECEIVED
a -116o 9.q.
For Office Use Only
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RECEIPT NO. % E I- NO, el J
OWNER C:7 r
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AMAIL DDRESS
TEL.
BUILDING/
CITY NO.
ADDRESS
RCN TE TEL.
COSTA MESA.
CALIFORNIA
ENGINEER NO.
OR ENGINE
O
ADDRESS
FIRE
ZONE TYPE GROUP
CONTRACTORAPPROVED
BY
DATE
LL
ZONING
ADDRESS ..J~�
20N6
NEW
CITY �`
PLANES
Q
I BUILDING
STATE �/y/ 2 TNG. � ��r
LEGAL
LEGAL
DESCRIPTION
D ,
SIZE "
NO. OP BUDGE.
CrI 7:: 1
OF LOT
NOW ON LOT
A. P.NO. �-
/ /r
USE OF'��yN��
YARDS
EVES
EXISTING BLDG
APPROVED
ALLOWED
SETBACK LINE FROM
(CENTER UNIX ST.)
CENTER OF STREET REAR YARD
FRONT
FT. IN.
SIDE YARD I LEFT
I RIGHT
R. SIDE
IN.
DESCRIPTION OF WORK
L. SIDE
�F�— IN.
NEW I II ALTERATION I II ADDITION I
REAR
T. IN.
REPAIR I MOVING I II DEMOLISH I
APPROV
BYI
DATE
BUILDING NO. OF
SIZE ROOMS STORIES
EXTERIOR WALL ROOF
I
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-.
PURPOSE OF ESTABLISHING
A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
VALUATION
BUILDING CONSTRUCTION,
SIGNATURE OF
PERMIT FEE $
PERMITTE
/
$
PLAN CHECK $
AUTHORIZED AGENT
TOTAL FEE 5
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