HomeMy WebLinkAbout3019 Croyden Bay - Building Permits14W W
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r CITY OF COSTA MESA
BUILDING SAFETY DIVISION
GAS OR ELECTRICAL UTILITY RELEASE FORM
THESE INSPECTIONS AREA RESULT OF: (CHECKONE)
bl EW CONSTRUCTION ❑ REWIRING ❑ OTHER (EXPLAINI
r A
Date RelemeE SipnaC - t
CMF 077146
NO.
NO. METER
NO. METERS
TRACT
LOT
ADDRESS
GAS
ELEC.
UNITS
OUTLETS
RELEASED
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THESE INSPECTIONS AREA RESULT OF: (CHECKONE)
bl EW CONSTRUCTION ❑ REWIRING ❑ OTHER (EXPLAINI
r A
Date RelemeE SipnaC - t
CMF 077146
( CITY OF COSTA MESA
BUILDING SAFETY DIVISION
GAS )*ELECTRICAL UTILITY RELd6E FORM
TRACT
LOT
ADDRESS
GAS
ELEC.
NO.
UNITS
NO.METER
OUTLETS
NO.METERS
RELEASED
L,
�T-H(ESE INSPECTIONS AREA RESULT OF: (CHECKONE)
l ,NEW CONSTRUCTION ❑ REWIRING ❑ OTHER (EXPLAINI
lab ..Med Sened
CMF 077I-66 - r
CITY OF COSTA MESA
BUILDING SAFETY DIVISION
GAS OR ELECTRICAL UTILITY RELEASE FORM
TRACT
LOT ADDRESS
GAS EL EC. NO.
UNITS
NO.METER
OUTLETS
NO. METERS
RELEASED
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THESE INSPECTIONS ARE A REsuu ter: I�ncw......,
)KNEW CONSTRUCTION ❑ REWIRING ❑ OTHER (EXPLAIN)
'1 ! Signed I r I
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CMF 077146
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7 CITY OF COSTA MESA
BUILDING SAFETY DIVISION
GAS OR ELECTRICAL UTILITY RELEASE FORM
THESE
NO.
NO. METER
NO. METERS
TRACT
LOT
ADDRESS
GAS
ESC'
UNITS
OUTLETS
RELEASED
6n
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THESE INSPECTIONS AREA RESULT OF: (CHECK ONEI
,
pl. ry EW CONSTRUCTION ❑ REWIRING ❑ OTHER (EXPLAIN)
Dela Releasetl Sipnetl
CMF 0))146
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ICAFFTvnFPARTMFNT AP�LICA -N FUB�[RUCTB"J PFRMI'668. F5
For Applicant to Fill in Completely — Use Ink
CITY
ADDRESS
VALUE
S
PERMIT FEE S
PLAN CHECK S
TAX a
TOTALPAID $
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CITY fl ND, "
APPROVED SETBACKS
STATE e
LICCIT. f3
LIC. NO.
IFROM WL STREET)
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NO, OF BLOGS.
oc 139' x 359' NOW oN Lar A
R r FT.
LOT
USE OF
N/A
A am
EXISnNG BLCG.
Separate permltS are required for
S
and heating work.
electric, plumbing
REAR FT.
USE OF BUILDING ANO WORK TO BE PERFORMED
PLANNING ATI�OgN
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ppPROVE
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ell bws .pined, puilClna conetrucdpn-and I shell not emPloy
an person in violationof the workm's ancompemrtion I ---of
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I hereby nNlfy mat I em prop sly licensed as a conorw or under
tha SOte CaIifomla Businen entl Profaalona Cotla, DWI -ion 3,
THE AMOUNT SHC
of
Cnaptar 9, entl tM1st wcM1 lionan ere In full forte entl eHact or I
THE PURPOSE OF E
urnempr from Ma provbion. of Ma Stan of Celifornla BwimR
VALUATION
and Prabfgpnan , OWlsion 3, CM1epnr S.
Sianatun pt't
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sermolHx
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AutM1Otlietl A9 —
VALUE
S
PERMIT FEE S
PLAN CHECK S
TAX a
TOTALPAID $
4Q
LLa