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HomeMy WebLinkAboutF2019-0566 - Permit ApplicationPlease print 3 copies C 2k `, - UvJ,-x � Associated Building Permit # [! Fire Sprinkler r7 Fire Alarm (7 Fire Misc 1. Project Address (Not mailing address) --� Floor Suite No j 906 BELLIS ST F-7711 Tenant NameENS IDENCE — - -NI RES i #Units i 2. Description of Work - J First Lic. No. Architect/Designer's Address Architect/Designees E-mail Address City -— - - ---- ----- Use I r 5. Engineer's Name LastFirst FIRE SPRINKLERS Engin -Ws Address Engineer's E-mail Address 39 HEADS -- - Valuation $ 3900 Ji Extg Sq Ft j New/Added Sq FtF7----7 Total Sq Ft F7777 Ix16. Contractor's Name Last CASEY New�i Add Alter Demo Contractor's Address #Stories 2 Check Appropriate Box for Applicant(Notification . I FIREPROOFMC@GMAIL COM j LA H City ABRA - — State CA Zip 0631 Telephone 714 476 5370 r 3.Owner's Name Last First Owner's Address — Owner's E-mail Address City I State Zip Telephoned 4. ArchitecVDesigner's Name Last - J First Lic. No. Architect/Designer's Address Architect/Designees E-mail Address City -— - - ---- ----- i State Zip ----- - Telephone---- - - r 5. Engineer's Name LastFirst Lic. No. I Engin -Ws Address Engineer's E-mail Address City State— zipTelephoneTelephone Ix16. Contractor's Name Last CASEY — —' First[MON TY Lic. No. 876004 iClass C-76 Contractor's Address Contractor's E-mail Address 1101 KINGSTON DR- I FIREPROOFMC@GMAIL COM j LA H City ABRA - — State CA Zip 0631 Telephone 714 476 5370 OFFICE USE ONLY PERMIT NO. TYPE CONSTRUCTION PLAN CHECK N OCCUPANCY- GROUP • � PLAN CHECK FEE $