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CITY OF DIAMOND BAR
DEPARTMENTOFCOM UN►TY& YELOPMENTSERVICES
"" 21810 Copley Drive, Dtamond Bar, CA 91765 PRESS
w (909)839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY
BUILDING PERMIT APPLICATION www.cifyofdtamondbarcom buddmg@diamondbarcagov
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APPLICATION DA�TIE9 pill
ISSUE DATE 1 ar�7� —PERMIT# pt tit — f77— z
TYPE CONST I-'IeGM'� OCC GROUP kx
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Scope of Work
# DWEI. UNITS # STORIES # BEDROOMS
DESCRIPTION
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QUANTITY
DESCRIPTION
FEE
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ELECTRIC
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
SMIP
ENERGY P/C
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RETENTION FEE
PRE-ALT FEE
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TOTAL FEES
COMMENTS
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RECEIPTa—a �'j'j iIL PMD BY, � I,t VAUIMTION
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