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Project Address (Not mailing address) r Flood r Fire r" Liq I— Landslide rN/A Floor Suite No
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Description of Work
Use � ConstType �-
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# Stories # Units (if Res)r—
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$
12
Material/Labor i�
New/Add SFr Remodel SFValuation
Garage/New/Add r--
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OWNER'S NAME Last 0M IM i D LL 6.
First
Owner's Address
Owner's E-mail Address
'*OCI M Drni ng Sur Ln.
city F ewport ecA(;h State GA Zip Fq2f (p 0 Telephone G1iA�� 11031- 31174
APPLICANT'S NAME Last MORALES
First MARISSA
Applicant's Address
Applicant's E-mail Address
6351 INDUSTRY WAY
MARISSA@SWIFTSLIPDOCKS.COM
City FESTMINSTER State CA
Zip 92683 Telephone 949-631-3121
ARCHITECT/DESIGNER'S NAME Last ��—
First s-_
Lic. No. 9 v
Architect/Designees Address
Architect/Designer's E-mail Address
City State F—
Zip r TelephoneF �
ENGINEER'S NAME LastI p w®v
First � final Lic. No. (b (0
i
Engineer's Address
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Engineer's E-mail Address
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City G na M8,61, State (il A
ZIP q'��PJ� � TelephoneFl j411,1It♦"�,�l5+L
CONTRACTOR'S NAME/COMPANY SWIFT SLIP DOCK & PIER BUILDERS, INC Lic. No. 797052 ClassA
Contractor's Address
6351 INDUSTRY WAY
Contractor's E-mail Address
MARISSA@SWIFTSLIPDOCKS.COM
City ESTMINSTER State CA
Zip 2683 Telephone 949-631-3121
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. { 2C)16,9
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $