HomeMy WebLinkAbout17-0607CITY OF DIAMOND BAR
_ DEPARTMENTOFCOMMUNITY& VELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
(909) 839-7020 Fax (909) 861-3117 Building Inspection Flatlme (909) 839.7027 FIRMLY
'B*° BUILDING PERMIT APPLICATION www.cityotdismondbarcom buddiogViamondbarcagav
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CWNER-B=ER GECLOMTMN
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I HEREBY AFFIRM DANDER PENALTY OF PERAURY DNE OFTW FOU_CuWWG DEBARATIONS
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PERMITTLF NAME?MTI
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SIGNATURE OFPERIATME IDATE
APPLICATION DATE
ISSUE DATE
TYPE 04NST
2I T
PERMITN
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DOG GROUP
Scapa of Work Q- P%-.T
N DWELL UNITS
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DESCRIPTK7N
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FACTOR PSF
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QUANTITY
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FEE
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CONSTRUCTION
PLAN REVIEW
ELECTRIC
PLUMBING
101.
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MECHANICAL
INSPECTION FEE
ISSUANCE%,I
SMIP
ENERGY P/C
ENERGY PERMIT
RETENTION FEE+~
PRE-ALT FEE
BASF
PLOT PLAN
ZONING CLEARANCE
TOTAL F££S
COMMENTS
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PLC PAID BY
RECEIPT0 PAIDBY ,�_.�_
VAUDATION
VAUDATION
1011
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