HomeMy WebLinkAbout00000BUILDING PERMIT
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CITY OF NfWGTONIMAC-H
0Lr1'A1*Mt'N7;0F BUILD I INO
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Or( . i I paAk of 14'� I o I I 0<.(:, Coa'f
* --- - - 1 '- 0, o' Address Y 0 0/ 050 Tor
City iTj if) lll:i - m - n - mg Actimi
Coiwal I'willit ?ofle
Tef No, Land
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C, 4X"", 19FEES
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Ad.OL65S Lic , Nc. it
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l�tthitert or neor J'fel. N v..
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ect'i t r4u, 3 9 TO TA L
llddress f., k' w '—i a—r k-- s
City State Zip
—'f . ..... Sq. Pt. Living No. of 0
Stories
Check Otte
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S(I Ft. Garrtge Description --___--_
Work
-------
NEW
ADD
ALTE R
V% Em r 11 k t rl
Use of Building F -wndation
(:J 13- F 11�10L. I rind Locatioll
V,t1ua Hors RE1,0CATE
t1w.' ifing Labor & Mat.)
a—! 11—i S —application —-- —an p- -I Y- V I a I I in;,l I a 1, d
st'llp laws applicable to bijilding construction.1, (ail) validly cegl5teted and licensed aS ttl(Imfed Uy the City r)f
Itantington Ceallh and tits Slme of California. w Frarntn
D �. I am the legal owner of the above o-!5cribed property-
I lidve tiled tnri.ir toe City of l4witington Beach:
I I A �eirtlficato of consent to self-m5ute issi-10d by ttit; t)trector c)f� Lath o,
Industdal Relations, of M y-.Y,)Ii
-w� A certificate of work-ets' cotnpensalt"J'% 111surance Issued tly all
admitted insurer, or .
(J 3. Art e.xact copy or chiplicate thereof certified by ttw Director
ct the iostifef, Or.
0 41, 1 certify that hi I ' the per(oiniance of the WOYK 'Or which thIS
pelinit is lssu6d, I shall riot employ any person in any manner
' As to ticcome subject ?o the Vnfvovs
toe State of califomia.
I reflily lof declare) Uh(;("( penalty of perjury Mat tfwl 1qx, hirg is
le day
Hunti )n each, Lair 1)(Ilia
title and correct, anowMdectaraticio was execuled.on It
a I
/1-7 C omh 1; )ms
PC I mi t let?
11''work is riot commenceti 120 (lays from date of iwje of 11"J'; perimi
-k is al)andoned for rnorif th3o 1 20 da, or if wo? /s, this peinilt soati I), v,
null and vwd,
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1 STORY 2 STCENY
EXIST. S/F DWEIL C
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stogy ! l 2 SIT0RY
A TXIST; VF D06L
'PLAN 6
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8
LEGAL OWNER: t _ PHONE hO. 0/ ALUP tNUM PATIO
CEMENT ❑
JOB -ADDRESS ,
-- SOREE4ING & GLASSFNE ❑
CITY V� r�7e oii CHECK 4N CITY kNEESIVALL HEIG"H r
COUNTY
.LEGAL: LOT � `?` � TRACT � �G}}� LOT SIZE `�0 X �'�'� INS
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