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CITY OF DIAMOND BAR
DEPARTMENT OF CON UNITY & VELOPMENT WICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
(909) 839.7020 Fax: (909) 861-3117 Building Inspection Hotbae (909) 839-7027 FIRMLY
�"�""" BUILDING PERMIT APPLICATION www.cityotdlamondbarcom bmldingQadiamondbarea.gov
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LICENSED CONTAAGMI S DEMMATION
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W'ORNER'SCOMPOUITON DE
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PODGY NLM.BER
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CONSTRUCTION UNDINO AuGBM
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LENM'S NAME
LENDERS ADDRESS
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SPiNATUBE OF PERMqTW—
DATE
APPLICATION DATE 4) ,��-. ..............._ P/C# y--�j[w-t ISSUE DATE '" t. i PERMIT# Q tl, v V : tL
TYPE CONST OCC GROUP
Scope of Work
# DWEL UNTTS # STORIi # BEDROOMS
DESCRIPTION
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QUANTITY
DESCRIPTION
FEE
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ELECTRIC
PLUMBING�J.
MECHANICAL
INSPECTION FEE
ISSUANCE ''2sG7
SMIP
ENERGY PIC
ENERGY PERMIT
RETENTION FEE Z 00
PRE-ALT FEE
BASF
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TOTAL FEES r t 9 /}
COMMENTS
PIC PAID BY r7 n VALIDATION . ; j�
RECEIPT # Js. PAID BY u __ VAi10ATTON