HomeMy WebLinkAbout2060 STATE AVE - Building Permits 31606
PAIR
APR —9-70ct, O 576* ****28.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT
Sir /, A 1' RECEIVED BY D�A./,�TE RECEIV D DAT ISryGUEDBUILDING
ADDRESS O6JO I At&4V. T `^ 96
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to CC LIC.NO. ' LIC. NO. MAIN BUILDING ACCESSORY BUILDING
7O (�SIZE / ANO.OF BLDGS. (FROM C/L STREET)
OF LOT �j f/ 9 NOW ON LOT I FRONT FT, 1/4FT.9 PL.
USE OF . e;Io_M� �t%e.
EXISTING BLDG. /� _R.SIDE FT. CO FT.
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3 Z NEW BLDG. - ROOMS STORIES L.SIDE FT. 3 FT.
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U I hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
EC all laws regulating building construction, and I shall not employ
I- any person in violatidn of the workman's compensation laws of
N the State of California. srD es
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Z I hereby certify that I am properly licensed as a contractor under 50.FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: II
am exempt from the provisions of the State of California Business cr
VALUATION W
and Professions Co Division 3,Chapter 9. es
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PERMIT FEE $/ ' N
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Signature oft /}/�c/�����1'(/.V/ 5 m
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PLAN CHECK $ 9try; LL
Authorized Agent TOTAL FEE $�d)�—