HomeMy WebLinkAboutX2020-2830 - Permit ApplicationPrint Form_ Workthei elt oOECombo Bu dgdPrmi
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F_ Comm'I r Residential of Ban-Bili�\1DTIME OF d
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F -Building [ Grading
j—jDrainage [ Elec F_Mech (— Plum Cu Yd CutMeA
Project Address (Not mailing address) F Flood r Fire (— Liq F- Landslor~ 5 rte o
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Description of Work
Use F Const Type F
# Stories # Units (if Res),
Valuation$
Material/Labor J
New/Add SFF—
Remodel SFF — — — — — Garage/New/Add
OWNER'S NAME
Last First
Owner's Address
Owner's E-mail Address
City
StateZip Telephoned
APPLICANT'S NAME
Last First
Applicant's Address
Applicant's E-mail Address
City _...
State Zip [— Telephone
ARCHITECT/DESIGNER'S NAME Last First F Lic. No. F_
Architect/Designees Address
Architect/Designer's E-mail Address
City
State Zip F Telephones
ENGINEER'S NAME
Last First F Lic. No.F—'
Engineer's Address
Engineer's E-mail Address
City
State F Zip Telephoner
CONTRACTOR'SNAMEKOMPANY
MAP c COVT244tINb l_ %hUrIOMfgLic. No. /QD7736 Class
Contractor's Address
Contractor's E-mail Address
24-s s 14 s4
ALI _ _ _ p461FI�@ PA61FI eAPt1--C .CaM
cityl OPL A"D
state CA Zip 11-7-04 Telephone6P6-362-2[73
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $