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CITY OF DIAMOND BAR w
DEPARTMENTOFC( NUNITY&DEVELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
(909) 839-7020 Fax, (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY
BUILDING PERMIT APPLICATION www.cityofdiamondburcom buildmg@diamondbarco.gov
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DMTRaGFyON INNING AGENCY
I hereby amens unor "a of perjury that thwm a a Lwdep Agency for bon Prtmiumce of a0 work to
this Normal a Lowmd lsec 3007 CW C1
LENDER'S NAME
LENDERS ADDRESS
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APPLICATION DATE _ ,_r P/C#
ISSUE DATE �} (, PERMIT#
TYPE CONST 1611*1I OCC GROUP
Scope of Work
# OWEL UNITS # STORIES # BEDROOMS
DESCRIPTION
SO FT
FACTOR PSF
AOJ AREAIVALUATION
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DESCRIPTION
FEE
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CONSTRUCTION
PLAN REVIEW
ELECTRIC
PLUMBING a7ih- } r
MECHANICAL
INSPECTION FEE
ISSUANCE 2C 0
SMFP
ENERGY P/C
ENERGY PERMIT
RETENTION FEE
PRE-ALT FEE
.. _
BASF
......
PLOT PLAN
ZONING CLEARANCE
TOTAL FEES
COMMENTS
P/C PAID BY VALIDATION _
RECEIPT* WF PAID 8Y T,I"' _YD/ VALIDATION
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